Address: 1010 W. La Veta Avenue, Orange, CA 92868

Urgent Care 24h
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  • General Practitioner
  • Our Practice
  • Science
  • Careers
  • Contact
  • General Practitioner
  • Our Practice
  • Science
  • Careers
  • Contact
  • General Practitioner
  • Our Practice
  • Science
  • Careers
  • Contact
Urgent Care 24h
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+ 1 541-754-3010

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+ 1 541-754-3010

Online Forms

Here are some important forms you to review and complete prior to your appointment with one of our physicians or provider.

  • Screening Checklist for Visitors
  • New Patient Enrollment Form
  • Medical History Form
  • Online Doctor Appointment Form
  • Psychiatric Evaluation Form
  • Quick Emergency Contact Form
  • Blood Donation Form
  • HIPAA Privacy Restriction Questionnaire
  • Medical Release Form

We are a family centered practice that incorporates compassion and dedication to promote your well being.

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Opening Hours:

B1010 W. La Veta Avenue, Orange, CA 92868

 

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+ 1 541-754-3010

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