New Patient Appointment Letter

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STANFORD CLINICAL CANCER CENTER
NEW PATIENT APPOINTMENT LETTER
SARCOMA
Stanford Clinical Cancer Center
Advanced Medicine Center Building
Date: ____________
875 Blake Wilbur Drive
Stanford, CA 94305
Phone: 650-498-6000
Fax: 650-723-6956
cancer.stanford.edu/newpatient
Dear
_______________________________________
Date of Birth
_______________________________________
Patient MRN
_______________________________________
You are scheduled for an appointment with the Stanford Sarcoma Clinic.
My name is ____________________________________. As one of the Sarcoma New Patient
Coordinators, I will help you get ready for your first visit with us. If you need to cancel or change
your appointment, please notify us at least 24 hours in advance by calling 650-498-6000.
Please plan on two to four hours for your first clinic appointment.
Your appointment is scheduled for:
Date:
___________________________________
Time:
___________________________________
with Dr:
___________________________________ at Clinic __
st
Please check in at 875 Blake Wilbur Drive, 1
floor, Clinic A-F.
Please arrive 30 minutes before your appointment time.
PLEASE BRING THE FOLLOWING WITH YOU TO YOUR APPOINTMENT:
 Insurance card(s), including Medicare, Medi-Cal, or Covered California cards
 Insurance co-pay (We accept credit, debit, or checks – no cash please)
 Valid photo ID
 Completed forms listed below, all of which are in your new patient packet:
 Allergy and Medication form
 Patient Intake Questionnaire requesting physician and pharmacy information
For more information and services for our new patients, check out our website
cancer.stanford.edu/newpatient

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