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Patient Information

Our dedicated physicians are committed to optimal medical therapies and outcomes through team effort, shared knowledge and coordinated treatments to provide a seamless experience based on a thorough understanding of each individual’s needs.

Electronic Health Record


Your Appointment

What to Bring Your Appointment

Your current health insurance card

Driver license or picture I.D.

Referral forms if required by insurance

A list of current prescriptions or over-the-counter medications you are taking, including dosage and frequency.

Relevant medical records and test results

Patient information forms (see below)


Patient Forms

If you are a new patient or have not been seen in the last twelve months, please click on the links below to download and print the forms. Bring the completed forms to your appointment. (pdf link)


For all new patients:


Consent for Treatment

Patient Information

Medical Records Authorization


Hospital Affiliations

Coast Hematology-Oncology Associates is affiliated with all major hospitals in the Greater Long Beach area, including


Long Beach Memorial Medical Center, Long Beach, CA

Pacific Hospital of Long Beach, Long Beach, CA

Lakewood Regional Medical Center, Lakewood, CA

St. Mary’s Medical Center, Long Beach, CA

Los Alamitos Medical Center, Los Alamitos, CA

Coast Plaza Doctors Hospital, Norwalk, CA

Bellwood General Hospital, Bellflower, CA

UC Irvine Medical Center, Orange, CA


Payment & Insurance

Coast Hematology-Oncology Associates is a provider for Medicare and most major insurance plans. If you have any questions regarding which insurance plans we accept, please contact (562) 997-4070