Application Process Checklist
- Call our office for an initial interview at 949.574.5800 extension 1.
- Complete the comprehensive Medical History (Pediatric form here).
- Read and sign the Consents.
- Fill out requests for your prior Medical Records.
- Copy your insurance card, front and back.
- Review and complete the enrollment form.
- Submit your completed application for review.
Once your application has been accepted, we will contact you to schedule your initial visit!
Bring To Your Initial Visit
- Completed 3 day Food Diary.
- All prescriptions, supplements, herbs, vitamins in original bottles.
- Any relevant medical information not previously forwarded.
- Please refrain from wearing fragrance of any kind; this includes body washes, lotions, hair sprays, perfumes and colognes.
- And a sense of adventure!