Forms & Payment

Accepts new patients

Medicare Other
Yes Yes

Office information from Michael T. Vercillo, M.D.


Orthopaedic History Form
*Please print this and the other two forms and fill them out prior to your appointment with us. This will help expedite your visit.

Patient Registration Form
Patient Registration Form

Contact Information

Hayashi, Dahms, Durand, Pattee, & Vercillo 375 Rolling Oaks Drive Suite 200 Thousand Oaks, CA USA 91361 View map Phone 805.497.9481 Fax 805.497.3416

Other staff in my practice

Dwite Dahms, M.D.
John Delgado, M.D.
Pierre Durand, M.D.
Gary A. Pattee, M.D.

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