Office of Mark J. Buchfuhrer, M.D.
FRCP(C), FCCP, FAASM
Board Certified in Internal Medicine, Pulmonary Diseases and Sleep Medicine
11480 Brookshire Avenue, Suite 108
Downey, CA 90241
562-904-1101, FAX 562-904-1105
Click here for a map of our office area
If you are a new patient, you should download the 3 forms below before coming to see Dr. Buchfuhrer in his office. Please fill out all three forms fully and bring them with you to our office on your first visit. If you have any problems filling out these forms, please call our office for help.
To download these forms, simply click on the link and open them up in Microsoft WORD, print them and then fill them all out fully.
1. Patient History form
2. Insurance and other patient information form
3. Notice of Privacy form
New patients should also bring in all their current medications. Please bring the actual pill bottles, inhalers, tubes (for creams) or bottles (for drops) as lists may be inaccurate or different than your actual medications.
Patient coming in for pulmonary consultations (for lung problems) should bring their last chest x-ray and any old ones that are available for comparison. CT scans of the chest should also be brought in if available. In addition to the actual chest x-ray films (or CD ROM if the x-rays are digital), please bring in a copy of the x-ray reports.
Patients coming in for sleep consultations should bring in copies of all their old sleep studies (if available).