New Patients

Medical History Form

Once you have a confirmed appointment with Dr. Geller, please complete the Medical History Form at least 48 hours prior to your visit. Please do not fill out this form if you do not have an appointment.


Medical Records

Please email your records to info@jordangeller.com. You may also send to our secure Efax at 310-651-6076.

Payment Policy

Please note that Dr. Geller is not a provider for any insurance plans or Medicare. Payment is due at the time of service (Visa or Mastercard). No personal checks please.

Cancellation Policy

We require 24 hour notice for cancellations. No-shows, flakes, or excessively late patients will be charged for their full appointment.