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

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        Forms & Contracts

ADMINISTRATION

         Clinic Policies & Terms

         Finances & Insurance

         Patient Information    

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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.

MD FORMS

We are available to discuss pain or symptoms concerns you may have about your patient.  To initiate an appointment, complete the appropriate referral form and gather all the necessary supporting documentation.  All documents may be faxed 1888.SXMMED.0 (888.796.6330).   Please contact us if you have any questions phone: 1888.SXMMED.1 (888.796.6331).


Forms

  1.     SxM CONSULTATION REFERRAL FORM

  2.     SxM PROCEDURE & ANESTHESIA REFERRAL FORM

  3.     SxM ANTI-COAGULANT POLICY

  4.     SxM ANTI-COAGULANT & CARDIAC RISK FACTORS

  5.     SxM PROVIDER SURVEY