New Patients & Forms
Please complete the registration forms ahead of time to reduce your wait time before your appointment.
Call Today
(805) 379-9353
400 South Reino Rd., Suite #200
Thousand Oaks, CA 91320
Monday – Friday
8:30 am – 5:00 pm
Registration Forms
Download the fillable PDFs below, complete and print them, then bring them with you to your appointment.
How to Submit Your Forms
Print & Bring
Complete the fillable PDFs, print them, and bring them to your appointment to help reduce your wait time.
Questions About Your Forms?
If you need help with any of the forms, call our office and our team will be glad to assist.
Frequently Asked Questions
What forms do new patients need?
New patients can download the Fillable Registration Forms, the Privacy Policy Form and the Medical Record Release Form from this page.
How do I submit my new patient forms?
Complete the fillable PDFs, print them, and bring them to your appointment to help reduce your wait time. Please do not email medical information.
What if I have questions about the forms?
Call our office at (805) 379-9353 and our team will be glad to help. For general questions, you can email info@drrubinstein.com.
What are the office hours?
The office is open Monday through Friday, 8:30 am to 5:00 pm, at 400 South Reino Rd., Suite #200, Thousand Oaks, CA 91320.
Ready to Talk With Dr. Rubinstein?
Call our Thousand Oaks office or send us a message to request a consultation.