Stanford Health Care Bariatric Surgery Department
Part of ValleyCare Physicians Associates
Individualized Medical Care in Pleasanton
We provide adult primary care and specialty care in surgery, bariatric surgery, and infectious disease at our Pleasanton location. Our doctors welcome new patients and provide individualized care, with easy access to your health information through MyHealth. Located adjacent to Stanford Health Care - ValleyCare at 5575 W. Las Positas, Suite 210, our physicians provide comprehensive medical care with access to Stanford specialists should the need arise.
5565 W Las Positas Blvd
Ste 260
Pleasanton,
CA
94588
Phone: 925-534-0500
Our Doctors
For Patients
Patient Forms
Please be sure to download the appropriate forms prior to visiting a UHA medical group. You may download the following PDF files and open them using the free online program, Adobe Acrobat Reader. Download the latest version of Acrobat Reader.
- HIPAA Acknowledgement Form (Please read before your first appointment) - Español
- Notice of Privacy Practice (Please read before your first appointment) - Español
- Terms & Conditions of Service (Please read before your first appointment) - Español - Chinese
- Authorization for Use or Disclosure of Protected Health Information - Español
- Explanation About Billing Charges for Your Preventive Visit - Español
- Annual Medicare Wellness Visit Information - Español
- Medicare Health Risk Assessment
- Behavioral Standards
- Financial Assistance Application (Complete if needed) - Español
- Notice of Nondiscrimination
- Preventive Visit Patient Letter
- New Patient Health Questionnaire (PDF) - Español
- VCPA Consent to Share Protected Health Information (please complete and bring to appointment)
- Sleep Referral
- Sleep Questionnaire
OB/GYN FORMS
- New Patient Gynecology Questionnaire (please complete and bring to appointment)
- Your Well Woman Exam Visit
- Cervical Cancer Screening Guidelines
- Learn about Women's Imaging at Stanford Health Care Valleycare
- Pregnancy Confirmation Questionnaire (please complete and bring to appointment)
- A Pregnancy Guide: 1st and 2nd Trimester
- A Pregnancy Guide: 3rd and 4th Trimester
- Stanford Health Care ValleyCare Hospital Pre-Register here for Labor and Delivery
PATIENT PORTAL
Call us to make an appointment
For Referring Physicians
PHYSICIAN HELPLINE
Fax: 650-320-9443
Monday–Friday, 8 a.m.–5 p.m.
Stanford Health Care provides comprehensive services to refer and track patients, as well as the latest information and news for physicians and office staff. For help with all referral needs and questions, visit Referral Information.
You may also submit a web referral or complete a referral form and fax it to 650-320-9443 or email the Referral Center at ReferralCenter@stanfordhealthcare.org.
- Send referrals online
- Place radiology and lab orders
- View referral status
- Access medical records