Patient Registration

In an effort to minimize time needed to complete your office registration we have supploed our Patient Registration Package and Health Questionnaire below.  They are in PDF Format and can be printed or downloaded using your computer.

 Patient Registration Package
 Health Questionnaire

Adobe Acrobat Reader is required to open these files  To download a free copy click the "Adobe Reader" button below.

If you wish to have this package mailed to your home, please notify our office. Fill in the required information on each form as completely as possible.

You may mail your completed forms to our office at:

New Patient Registration for Anaheim Clinic
1211 W La Palma Ave Ste 207
Anaheim, CA 92801

New Patient Registration for Santa Ana Clinic
999 N Tustin Ave Ste 1
Santa Ana, CA 92701

Or, you may bring your completed forms with you to the office on the day of your scheduled appointment.