Dominick Curatola, MD, FACC | Mountain View, CA | Office: 650-969-6000

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    • Visit CDC.gov
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Patient Forms

Please complete these forms and bring them to your first appointment. Thank you!


Communications Guidelines (PDF)Guidelines for Use of Text and Email Commuunication
Medical Record Release Authorization (PDF)Authorization for Release/Disclosure of Medical Information
Patient Information Form (PDF)Last Updated December 2021

Questions? see our FAQ's or Contact Us.

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Dominick Curtola, MD
205 South Drive, Suite A, Mountain View, CA 94040 | Office: 650-969-6000

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