Christopher N. Spellman, M.D., Inc.

6221 Metropolitan Street, Suite 200 Carlsbad, CA 92009

Phone: (760) 633-3377

Fax: (760) 633-3370  

We have attached our New Patient Registration forms for your convenience. Feel free to fill out these forms before your visit. Each patient is required to fill out our New Patient Registration, which includes our HIPAA regulations and guidelines.

Please fill out our Medicare Consent form if you have Medicare.

To request a copy of your medical records, or if you need them sent to another doctor, please fill out the Medical Records Release form. You may fax, mail, or bring this form to your next appointment.

If you would like to authorize a representative, whom we can discuss your medical information with on your behalf, please fill out our Patient Representative Authorization form and either fax, mail or bring in this completed form.

Please mail to:

6221 Metropolitan Street

Suite 200

Carlsbad, CA 92009

or Fax to:

(760) 633-3370