“Dr. Dastmalchi was wonderful! She is genuinely invested in her patients and it shows. She assisted me and also gave me suggestions for how to prevent my condition from worsening in the future. I am so lucky I found such a caring primary doctor so close to my apartment!”


New Patient appointments: In order to expedite your check-in and minimize waiting times, we ask that new patients arrive at the office 15 minutes prior to their appointment. Please download and fill out the appropriate "appointment forms" below and bring them with you on the day of your appointment. For your convenience, the forms can also be faxed to us, at 415-362-8309, attn: new patient visit.

Please provide as much information as possible for us to help you with your enquiry.

  • There were some problems with your form submission:

Thanks for your message! We will get back to you ASAP!

I understand and agree that any information submitted will be forwarded to our office by email and not via a secure messaging system. This form should not be used to transmit private health information, and we disclaim all warranties with respect to the privacy and confidentiality of any information submitted through this form.

* indicates a required field


Patient Information

Patient History

Financial Policy

Request Medical Records

Authorization to Release Medical Records