New Patient Forms

Patient Forms for Your First Visit

New Patient Forms

During your first appointment at Comprehensive Cancer Centers of Nevada, you will be asked to complete a number of patient forms. We know these forms will take time and require a lot of attention to complete.

If you would like to complete these forms ahead of time so you are prepared, please click on your physician’s name below. A new tab will open with their specific forms that you will be able to download and print at home. Please feel free to complete them in their entirety and bring them with you to your appointment.

Medical Oncology

• Imran Ahmed, MD
• Fadi Braiteh, MD
• Stephani Christensen, MD
• Khoi Dao, MD  
• Muhammad Ghani, MD
• Vikas Gupta, MD
• Regan Holdridge, MD
• Henry Igid, MD
• Karen S. Jacks, MD
• Clark S. Jean, MD
• G. H. Kashef, MD
• Dhan Kaushal, MD 
• Edwin Kingsley, MD
• Anthony V. Nguyen, MD
• Rupesh J. Parikh, MD
• H. Keshava Prasad, MD, FRCP, FRCPath
• Ramalingam Ratnasabapathy, MD
• Hamidreza Sanatinia, MD
• Anu R. Thummala, MD
• Resty Tibayan, MD
• Brian Vicuna, MD
• Ammar M. Yousiff, MD

Radiation Oncology

• • Michael J. Anderson, MD
  • Robert Beck, MD
  • Andrew M. Cohen, MD
  • Dan L. Curtis, MD
  • Samual R. Francis, MD, MS
  • Farzaneh Farzin, MD
  • Matthew W. Schwartz, MD
  • Michael T. Sinopoli, MD
  • W. Andrew Wang, MD

Summerlin/CyberKnife

• Robert Beck, MD
• Dan L. Curtis, MD

Breast Surgery

• Souzan El-Eid, MD, FACS
• Margaret A. Terhar, MD, FACS

Lung Center of Nevada

• Karishma Bhatia Mehta, MD
• Nisarg Changawala, MD, MPH
• John (Jack) Collier, MD, FCCP, DABSM
• Vishisht Mehta MD, FCCP, DAABIP, ATSF
• George S. Tu, MD, FCCP, DABSM
• John Wojcik, MD, FCCP, DABSM

Generic

• Notice of Privacy Practices – English (pdf)
• Notice of Privacy Practices – Spanish (pdf)