Forms & Payment

Accepts new patients

Medicare Medicaid Workers' compensation Other
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Medical insurance plans and payment options

Office information from David G Levinsohn, MD

HIPAA notice of privacy practices form
To be read by all new patients

Directions to Sharp Memorial Pavillion Surgery Centerand Main Hospital
Directions to Sharp Memorial Pavillion Surgery Center and Main Hospital

HIPAA acknowledgement of privacy practices form
To be signed by all new patients after reading HIPAA policy. Please bring this signed form to the office and it may save time at check in.

HISTORY FORM
To be completed in detail by all new patients. Please bring this completed form with you. Filling out this form at home may save you time on checking in and may improve on the accuracy of the information you provide for example medication doses, dates of previous surgeries etc.

Insurance and demographic data
To be completed by all new patients

Ortho Surg Center La Jolla (English)

Ortho Surg Center La Jolla (Spanish)
Ortho Surg Center La Jolla (Spanish)

davidlevinsohn.com

David G Levinsohn MD 7910 Frost Street, Suite 340 San Diego, CA 92123 View map Phone 858 277 2448 Fax 858 277 2492

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This website is provided by the American Academy of Orthopaedic Surgeons as a service to its members. All materials on this Web site have been created, developed or assembled by the member physician, who is solely responsible for its content and any permissions necessary to properly place the materials on this website. The AAOS does not review this information nor does it exercise editorial control over it and consequently AAOS is not liable for any damage that may be caused by this information.