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    • Graham Hurvitz, MD
    • Jervis Yau, MD
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    • James R. Bailey, MD
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Patient Forms

Home/About/Patient Forms
Patient Registration – English
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Problem Questionnaire – English
Problem Questionnaire – Spanish
Financial Policy
Financial Policy – Spanish
Patient Information
Patient Information – Spanish
Patient Information – Surrogate
Patient Information – Surrogate – Spanish
Patient Information – Workers’ Comp
Patient Information – Workers’ Comp – Spanish
Consent to Use Telemedicine
Medical Records Release

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Santa Barbara Office

The Ryu Hurvitz Orthopedic Clinic
2936 De La Vina Street
Santa Barbara, CA 93105

Tel: (805) 963-2729
Fax: (805) 963-3818
Send us an Email

Santa Maria Office

The Ryu Hurvitz Orthopedic Clinic
2530 Professional Parkway
Santa Maria, CA 93455

Tel: (805) 963-2729
Fax: (805) 963-3818
Send us an Email

Disclaimer

All information contained on the ryu.com website is intended for informational and educational purposes. The information is not intended nor suited to be a replacement or substitute for professional medical treatment or for professional medical advice relative to a specific medical question or condition. (Legal Notice & Industry Relationships)
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