Patient Paperwork

We’re committed to making it easier to live your best, healthiest life. For added convenience, we provide quick online access to a range of patient forms. Complete and submit annual exam paperwork, perioperative history forms, new patient paperwork, and Medicaid information here, in a matter of clicks.

For Established Patient

Please read and fill out forms completely and bring to your appointment.

A. Dr. Sleep: Annual Exam Paperwork 3 Pages

B. Dr. Sleep: Preoperative History Form 3 Pages

For New Patients

Please read / fill out forms completely. Don’t forget your insurance card.

C. Dr. Sleep: New Patient Paperwork 8 Pages

D. Dr. Sleep: New Patient Dermatology 5 Pages

E. Dr. Sleep: Membership Policy Form 1 Page

Concierge Letters

Please read / fill out forms completely.

F. To Internal Medicine Patient Letter and Form 2 Pages

G. To Medicare Concierge Patients Letter and Form 2 Pages

Insurance

Our team is contracted with Medicare and accepts both Medicare and secondary insurance after submitting the annual concierge fee. We are not contracted with PPO providers. Non-medicare patients pay at the time of service and insurance is billed as a courtesy after submitting the annual concierge fee. We are not contracted with any Medicare HMO plans.

Office Hours

8:30 am to 5:00 pm, Monday – Friday 
Closed for lunch: Noon – 2:00 pm 
Doctors on call 24 hour, 7 days a week

Make an Appointment

Please call (562) 936-0292 to schedule your appointment. 
Email: linda@susansleepmdandassociates.com