For Patients

Patients who have questions about cancer, cancer treatment or cancer care should ask their primary care physician or specialist to refer them to Beverly Hills Cancer Center. In addition, patients may contact us directly by using our interactive and downloadable forms below.

Beverly Hills Cancer Center looks forward to having you join our family of satisfied patients. To request an appointment directly, please call us at (800) TO-HEALTH or (310) 432-8900. To request an appointment online, please use our interactive  Online Appointment Request Form.

Once you have made your initial appointment, you can pre-register online by simply clicking on the links below.  To submit an interactive form, simply complete the form and click the submit button below. To submit a downloadable form, click on the form below, print it from your printer, fill it out completely and bring it to your visit.

Completing these forms prior to your visit will help speed the new patient registration process and get you in to see the doctor faster!

Interactive Forms:

• Online Appointment Request Form
• Patient Health History Form
• Patient Registration Form

Downloadable Forms:

• Patient Registration Packet Form
• Insurance List

Please note:  It may take a few minutes to load the forms if you are using a dial-up Internet Connection.  If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below. 

Helpful Patient Links:

• PETNET PET/CT Patient Resource Site: Real Life Detailed Answers for PET/CT Scans done at Beverly Hills Cancer Center          
  
  
• American Cancer Society includes clinical trial and general information plus a glossary of cancer-treating drugs.  
• American Society of Clinical Oncology (ASCO) is a resource for oncology patients and professionals with information from the world’s leading oncology professionals.  
• CancerSource offers the most complete, current cancer information, interactive tools and community resources to broaden your understanding and support network.  
• City of Hope is an innovative biomedical research, treatment and educational organization near Los Angeles, California. City of Hope is dedicated to the prevention and cure of cancer, HIV/AIDS, diabetes and other life-threatening diseases.  
• CLL Action Plan assists patients with chronic lymphocytes leukemia by creating an action plan designed to help them understand what they need to know about CLL.  
• Leukemia and Lymphoma Society is the world’s largest voluntary health organization dedicated to funding blood cancer research, education and patient services.  
• My Biopsy helps you to learn more about your specific disease.  
• Partners Against Pain is a comprehensive resource for pain management that includes information for patients, caregivers and institutions.  
• People Living With Cancer is the American Society of Clinical Oncology (ASCO) website for the world’s leading professional organization representing physicians who treat people with cancer, and providing information for people living with cancer.   
• National Cancer Institute (NCI) offers information on cancer treatment types and open clinical trials. 
• National Comprehensive Cancer Network (NCCN)  
• Navigating Cancer offers free tools to help you organize and manage your health and treatment records.
• Susan G. Komen Breast Cancer Foundation is about people who are dedicated to fighting breast cancer by doing all that they can to eradicate it.  
• Susan Love, MD Breast Cancer Foundation (formerly the Santa Barbara Breast Cancer Institute) was founded in 1983 to initiate and pursue research programs and promote breast disease education.