New Client Form – Please Fill Out Prior to Visit
If you need a doctor’s report, receipt or invoice please notify us prior to your visit! The doctor will not be able to provide this forms during your visit unless you have requested it.
Two Locations to Serve You:
1303 Avocado Ave #100
Newport Beach, CA 92660
Corona Del Mar
(Only Available Fridays By Request)
2865 E Coast Hwy #150
Corona Del Mar, CA 92625
Please Call After Submitting Form to Schedule The Time of Your Appointment
We look forward to serving you!
Digital Lab Test Forms
Help with our clinic workflow and come prepared! We have provided digital forms (below) for you to fill out and email to us prior to your visit.
- Please fill out and email us the CDC PUI Form so that we can go over the questions together at our visit.
- If you are getting lab tests, please make sure you’ve included your insurance cards when filling out our NEW CLIENT FORM
- Lab fees can be collected by our staff or you may include your credit card information on lab requisitions. PCR $150 & Antibody Serology $150
This will help us deliver your results ASAP. Please call 949-706-1212 for clarification.