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Dear Future Client,

Please follow the directions below to complete your New Patient Packet. 

 

Submission is required by the morning of your appointment.

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

Please select a New Patient Packet in your preferred language:

ENGLISH

SPANISH

VIETNAMESE

KOREAN

 

If you have a copayment, we will contact you after your appointment to collect a debit/credit card to keep on file for all future appointments. If preferred, you may also provide us with your card information by completing the following: Debit/Credit Card Authorization Form

 

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

If you cannot complete the New Patient Packet online, please call us at (949)-722-7118 so we may try alternative options.

 

Feel free to contact us if you have any questions. 

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

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