Michael M. Gottlieb, M.D., F.A.C.S.
General Surgery
Colorectal Surgery
Colorectal Surgery
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Click here to Download Forms to fill out at home. Bring them to your
first office visit.
first office visit.
- Bring your insurance card.
- If you are in an HMO (Muir IPA, Hill IPA), we must have a referral
authorization form from your referring doctor.
- Billing for services rendered will be by: EBCVT (East Bay
Cardiovascular &Thoracic Associates)
- A $20 fee will be collected for completion of medical forms by us for
Disability, FMLA, etc
If you need a free Adobe Acrobat Reader
to view and print the forms, click here:
to view and print the forms, click here:
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Copyright © 2005-2017 Michael M. Gottlieb, M.D.