Medical Staff Office Documents & Forms
Common documents and forms provided by the medical staff office or service departments at El Camino Health.
If you don't see a document you need please contact the Medical Staff Office directly.
- Medical Staff Bylaws
Last update February 2021 (PDF)
- Medical Staff Rules and Regulations
Last update April 2020 (PDF)
- Cafeteria Meal Account & Stipend Credit Card Form (PDF)
Return completed forms to the Medical Staff Office to activate your El Camino Health cafeteria allowance.
- Contact Information Change Form (PDF)
Update personal contact information, office contact information, or change or revoke fax authorization.
Services Referral Forms
- Imaging Referral and Order Form (PDF)
Scheduling information, phone and fax numbers are included in this PDF for both Los Gatos and Mountain View locations. Use this form to order the following imaging procedures:
- Breast Health (biopsy, mammogram, MRI, ultrasound)
- Bone Density (DEXA, vertebral fracture assessment)
- Diagnostic Imaging/X-Ray
- Nuclear Medicine