Contact us:  [email protected]  (714) 256-5074

New Patient Corner

NEW PATIENT PAPERWORK

SAVE TIME BY FILLING OUT PAPERWORK AT HOME!

We are excited for your first appointment with us and we look forward to helping you!

We try to make it as easy as possible by allowing you to download and fill it out in the comfort of your own home!

If you are starting a new case with us, please download and fill out the packet below (NOTE: Medicare patients will ALSO need to fill out the “Medicare Packet”).

If you are scheduled for a “Free Consultation”, then you only need to fill out the ‘Consultation Paperwork”.

Please arrive to our office 5-10 minutes before your appointment with your paperwork completely filled out.

Please also bring the following to your first appointment:

  1. Photo ID
  2. Your insurance card
  3. Your calendar (to schedule future appointments)

Call or email us with any questions!

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Initial Evaluation Paperwork

Download and fill out the packet below and bring to your initial evaluation.

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ARE YOU USING MEDICARE?

Fill this out in addition to above body part forms.

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IS THIS A FREE CONSULTATION?

Download and fill out this packet if you are scheduled for a free consultation.

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