Please call to schedule an appointment at (949) 706-1212
The above information is true to the best of my knowledge. I authorize my insurance benefits to be paid directly to the physician. I understand that I am financially responsible for any balance. I also authorize Dr. Bar to release any information required to process my claims. I hereby voluntarily consent to the rendering of care, including treatment, performance of diagnostic and/or medical procedure.
Please fill out lab forms (below) and email them to us prior to your visit at email@example.com
Fill out this digital form then email it to us at firstname.lastname@example.org