March Specials

Herbal Body Wrap for detoxification

(herbal experience of warmth and relaxation…includes head & foot massage and free detoxification bath herbs) $65

Hair Removal

Soft, Silky Smooth Skin
Ultra VPL
10% Discount
on package of 5 treatments

Product Discounts

Obagi Medical and
PCA Skin Care Products
15% off

Mention this ad when you call, 707.279.8733
Print this coupon,
it must be present at
time of appointment

 

 

 

 

 

 

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Paula R. Dhanda, M.D., F.A.C.O.G., F.A.C.S.
Steven Herber, M.D., F.A.C.S
Quincy C. Andrus, P.A.
John C. Clarke, C.R.N.A.

Dedicated to a Higher Standard of Care

New In Office Procedures Covered by Most Insurances!


A quick, safe, and effective minimally invasive procedure that can eliminate heavy periods.


A permanent birth control option. It is a proven solution that doesn't require hormones, cutting, going under general anesthesia, or slowing down to recover. When your family is complete, choose Essure.

Call our office for more information 707.279.8733

Medical forms for viewing and downloading

These various forms are in PDF format for viewing, downloading and printing.

New Patient Pack

Health Questionnaire

10374 Health Questionnaire.pdf (50.5k)

Patient Information Form

10743 Patient Info Form.pdf (32.4k)

Payment Plan Form Letter

10744 Payment plan form letter.pdf (27.8k)

Medication List

MEDICATION LIST.pdf (50.2k)

Patient Partnership Plan

PatientPartnershipPlan.pdf (63.5k)

 

Medical Forms

Post-operative Patient Instructions, Major Surgery

1004 Post Op Major.pdf (33.5k)

Post-operative Patient Instructions, Minor Surgery

1005 Post Op Minor.pdf (31.7k)

Health Questionnaire

10374 Health Questionnaire.pdf (50.5k)

Patient Information Form

10743 Patient Info Form.pdf (32.4k)

A Patient’s Bill of Rights

PatientsBillOfRights.pdf (24.6k)

Advance Health Care Directive

AdvanceDirective.pdf (81.4k)

Payment Plan Form Letter

10744 Payment plan form letter.pdf (27.8k)

Authorization for Use and Disclosure of Medical Information

10812 Request for Records.pdf (33.5k)

Medication List

MEDICATION LIST.pdf (50.2k)

Gardasil Purchase Agreement

Gardasil Pirchase Agreement.pdf (32.0k)

EDD Disability Forms

EDD Disability Forms.pdf (1.2mb)

 

Specialty Care & Surgery Center • 5685 Main Street, Kelseyville, CA 95451

707-279.8733, FAX 707.279.8731 • info@dr-specialtycare.com

 

Specialty Care & Surgery Center does not discriminate against any person on the ground of race, color, national origin or on the basis of disability or age.