We moved August 15!

New address after 8/15/24
2100 Webster St., Ste. 117
San Francisco Ca 94115
Phone 415-923-3029
New Fax Number 415-373-4108 (now)
Email: staff@drlanderson.com or Text 415-923-3029

For my long term CCSF patients, I recommend you contact your adjustor or check with your colleagues for assignment of a
new Primary treater. Send us a written request (or 1 email) of where you want your records sent to. That will take
5-7 days.

We are available to schedule appointments and answer our patients’ questions Monday through Friday from 9AM-5PM. We are closed for lunch from 12-1:15 daily. We require 24 hour notice on any appointment cancellations.

What Patients Should Bring for their Appointment

• Current insurance card/referral, if needed
• WC Information – adjustor name, Claim #, Company name and address
• Current list of medications and allergies
• Past X-rays, MRI, operative reports, bone scans or medical records
• Pair of shorts if problem involves the knee or a tank top if being seen for your shoulder

New Patient Forms

The following are faxable forms. Please fax to 415-373-4108 and bring a copy with you to your next office visit:

• New Patient Information

Medical Records Forms

• Medical Record Release Consent Form

Pre-Operative Form

Please take a moment to complete the attached questionnaire if you wish to proceed with surgery with Dr. Anderson.

• Pre-Operative Health Questionnaire

Disability Forms

Many of you may have disability insurance forms. We require five working days to fill these out as the forms often take substantial amounts of time to complete. There is a $40 charge for private disability forms (ie: Aflac, Colonial) and a $20 charge for State Disability (EDD) and FMLA forms. This is to be paid in advance at the time the forms are dropped off. If you need the form expedited within 24 hours, there will be an additional $10 fee. If medical records are requested, there is a $0.25 per page charge. This is not billed to your insurance company.