SXM   SYMPTOM MEDICINE

Pain Medicine, Palliative Care, Anesthesia


2030 NORTH PACIFIC AVE., SUITE F, SANTA CRUZ, CA 95060

tel: 888.796.6331 fax 888.796.633

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FOR PATIENTS

        Become a Patient

        New Patient

        Current Patient

        Forms & Contracts

ADMINISTRATION

         Clinic Policies & Terms

         Finances & Insurance

         Patient Information    

         Make a Payment

RESOURCES

        Education & Library

        Patient Support

        Concierge Services

       

Patients will be required to read Clinic Policies and give an electronic signature to obtain any forms or reserve an appointment. This  website is not HIPPA secure; and thus, cannot accept or exchange ANY sensitive information or private data.

Clinic Polices, Contracts and Agreements

Find information explaining patient expectations, responsibilities, and obligations as an SxM patient.  Please read all the forms below.  Failure to comply with any terms, rules and/or polices may result in the discharge from SxM Clinic.  If a patient is discharged from the clinic, continuation and subsequent care will be under the discretion the PCP and referring physician.

  1.     SXM CONTROLLED SUBSTANCE EDUCATION

  2.     SXM OPIOID CONTRACT

  3.     SXM CLINIC PARTICIPATION

  4.     SxM PATIENT FINANCIAL RESPONSIBILITY

  5.     SxM TERMS & CONDITIONS OF SERVICE

  6.     SxM RELEASE OF INFORMATION

  7.     SxM 30 DAY NOTICE OF DISCHARGE

  8.     SxM CONSENT FOR PROCEDURE & ANESTHESIA

  9.     SxM CONTRACTED INSURANCE COMPANIES

  10.     SxM ANTI-COAGULANT POLICY


WEB SITE INFORMATION & TERMS

Please, visit and read the terms of the policies below.  All health and health-related information contained within this Symptom Medicine’s web site is intended to be general in nature and is not be used as a substitute for a visit with a physician.  If you have a medical condition that needs emergent medical attention, go to your nearest emergency room or call 9-1-1.

  1.     Web Terms of Use and Privacy

  2.     Copyright and Trade Mark

  3.     Reprints & Licensing

  4.     Social Media Policy