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ALL PATIENTS should bring the following to each doctor's appointment:

  • Current insurance card and office visit copay. 

  • Driver’s license or other valid photo ID

  • A list of all prescription medications and vitamins/supplements you’re currently taking, including doses. If you can, please also bring the medications in their original bottles.

  • A list of specialists you see, including phone numbers.

  • A copy of your immunization records. Note: this is especially important for our pediatric patients, and if you are coming in for a travel consult.


NEW patients - bring all the above, PLUS:

  • Adults who have a MyChart account with Providence Saint Johns - please SIGN IN and complete or review/update your "Health History"

  • Adults who do not have a MyChart account with Providence Saint Johns can go to MyChart and click on the orange SIGN UP NOW button. Once you have signed up, please complete the "Health History" questionnaire. If you are unable to do so, please download, print, and complete a NEW PATIENT QUESTIONNAIRE and bring this completed form to your appointment.

  • Parents bringing children in for a well child check should complete a PEDIATRIC INTAKE FORM, and bring an up-to-date copy of immunization records

  • Completed AUTHORIZATION FOR RELEASE OF INFORMATION form - this enables your Santa Monica Family Physicians doctor to request medical records from your previous physician.


MEDICARE patients:

  • Medicare covers one “Wellness visit” every 365 days. For information on what this visit includes, visit the Medicare website.

  • Please print and complete a MEDICARE WELLNESS QUESTIONNAIRE and bring it with you to your appointment.

PEDIATRIC patients:

  • If your child is a new patient, please complete a PEDIATRIC INTAKE FORM, and bring an up-to-date copy of immunization records

  • If your child needs school or camp forms completed during a well-child visit, please bring those forms with you and fill out the “parent” section.