
- Patient Intake Form – English – Download PDF – Fill Online
- Patient Intake Form – Spanish – Download PDF – Fill Online
- Patient Portal – Call office for ID and Password (714) 547-7100
Please arrive early so that we can complete your initial paperwork. Also, please bring the following:
- Patient’s insurance card
- List of current prescriptions and/or over-the-counter medication, including dose and frequency
- Information about patient’s medical and surgical history
- Recent test results, x-rays, or relevant records
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