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For more information and services for our new patients, check out our website
cancer.stanford.edu/newpatient
STANFORD CLINICAL CANCER CENTER
NEW PATIENT APPOINTMENT LETTER
CANCER GENETICS
Stanford Clinical Cancer Center
Blake Wilbur Building
Date: ____________ 900 Blake Wilbur Drive 3
rd
Floor
Stanford, CA 94305
Phone: 650-498-6000
Fax: 650-724-1433
cancer.stanford.edu/newpatient
Dear _______________________________________
Date of Birth _______________________________________
Patient MRN _______________________________________
You are scheduled for an appointment with the Stanford Cancer Genetics Clinic.
My name is ____________________________________. As one of the Cancer Genetics 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: ___________________________________
Please check in at 900 Blake Wilbur Drive, 3
rd
floor.
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