Please review, complete and submit the all of the following paperwork online prior to your scheduled appointment. If you have questions or concerns, please call the office at (949) 480-7767.
- Patient Information Questionnaire
- Patient Self-Report Form
- Couple’s Intake Form
- Informed Consent and Office Policy
- Electronic Payment Authorization
- Consent to Release Confidential Information (optional)
If you would like to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete the Consent to Release Information Form.