Dear Future Client,

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Please follow the directions below to complete your new patient packet. 

 

This is required by the morning of your appointment.

We will not be able to keep your appointment without it.

If you have a copay, we will be contacting you after your appointment to collect a card on file to charge for all future appointments. If preferred, you may also provide us with your card information by completing the following form: Credit Card Authorization Form

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Please select your preferred language:

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English: CLICK HERE

Spanish: CLICK HERE

Vietnamese: CLICK HERE

Korean: CLICK HERE

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*Please make sure to complete the patient scales and attach a picture ID.*

If you are unable to complete the New Patient Packet online, please give us a call at (949)-722-7118 so we may try alternative options.

 

Feel free to contact us if you have any questions. 

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To learn more about how to prepare for your telehealth appointment, please visit: https://www.progenyclinic.com/televisits.