Patient Resources & Forms

THANK YOU FOR CHOOSING DR. PM SLEEP AND WELLNESS MEDICAL CENTER!

Existing Patients

If you are currently seeing Dr. Mashayekhi at PHMG and would like to have your records transferred to her new office, please complete the Record Release form for PHMG to Dr PM (link here) and email this signed form to medicalrecords@phmg.org and patient@sdsleepdr.com to have your records transferred.

Please leave the bottom of the first page blank, if you put a date on the bottom of the first page the release will expire on the date written. Of note, if you have seen Dr. PM for Sleep Medicine and/or Weight Management, all documents related to Sleep Medicine and/or Weight Management will be transferred.

New Patients

The forms and information below will help you prepare for your first visit and get started.

Before your visit, you must complete applicable forms below (forms will be posted soon). If you are not able to complete these forms online, we can help provide you the forms by email to print and email back. These forms are critical to making your first visit with us a success.

• Brief Medical Intake Form for All New Patients and Patients Re-Establishing Care
• New Patient Sleep Disorders Consultation
• Patient Financial Agreement
• Weight Management Consultation
• Current Patient Forms – Form coming soon
• Medical Release Form
• Notice of Privacy Practices