The forms listed below may be downloaded and completed prior to your appointment. Simply log onto the forms and complete them on the screen and then print the form. Please fill in all the information that you can so we may bill your insurance correctly and accurately. Thorough medical history will allow our office to provide proper and safe procedures consistent with your medical condition.
| Monday | 8:30 AM | 5:00 PM |
| Tuesday | 8:30 AM | 5:00 PM |
| Wednesday | 8:30 AM | 5:00 PM |
| Thursday | 8:30 AM | 5:00 PM |
| Friday | 8:00 AM | 2:00 PM |
| Saturday | Closed | |
| Sunday | Closed | |
Dr. Sam F. Khoury
3000 Alamo Drive, Suite 206,
Vacaville, California 95687
707-451-1311
707-451-1325
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