Accessibility Tools

New Patient Packet

The New Patient Packet contains the following forms:

  • Welcome Letter
  • SCOS Policy
  • Insurance and Treatment Authorization
  • Release of Information
  • Consent to Obtain Prescription Benefits
  • Notice of Privacy Practices Acknowledgment

New Patient Packet

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Fountain Valley 18785 Brookhurst Street, Suite 100
Fountain Valley, CA 92708

Practice Hours: 8:00 AM - 5:00 PM

Los Alamitos 3851 Katella Ave, Suite 150
Los Alamitos, CA 90720

Practice Hours: 8:00 AM - 5:00 PM