For your convenience, we provide here our patient forms to fill out prior to your appointment. Please contact our office if you have any questions. Before the day of your appointment:
1) NEW patients: please email to lorainediego@yahoo.com or fax to 213-388-1507 all patient forms, a clear copy of your Drivers License or ID card, and both sides of your insurance card.
2) Existing patients: please email or fax to us any updated address or phone number, Drivers License or ID card, pharmacy preference, and/or insurance card.
