Contact Us
Our Services
- Cardiology
Insurance Options
- We participate with most insurance plans, including MediCal and California Children’s Services (CCS). To refer a patient or to reach our on-call physician, available 24 hours a day, for consultations, please call our main office at 714-547-0900.
Patient Forms
New Patient
Online
- Patient Registration
- Medical History
- Chest Pain Questionnaire
- Palpitation Questionnaire
- Syncope Questionnaire
Download
- Medical History
Other Languages
Online
- Registro de Paciente
- Historia Medica
- Cuestionario de Dolor de Pecho
- Cuestionario de Palpitaciones
- Cuestionario de Síncope
Download
- Registracion Pediatrica del Paciente
- Historia Medica
General Forms
- Notice of Non-Discrimination - Language Assistance Services
- Notice of Privacy Practices
Other Languages
- Notificación de Prácticas de Privacidad
- Aviso de Prácticas de Privacidad Formulario de Acuse de Recibo del Paciente
Referring Physicians
Telemedicine Instructions

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