Patient Forms

Appointments:

Our staff is always ready to help with scheduling, insurance or anything else you may need during your time with us. We will take extra care to listen to your concerns, answer all your questions and thoroughly explain your condition and treatment options. To schedule an appointment, please call us at 949-443-4303 or use our convenient Request an Appointment form.

If at any time you are unable to keep your appointment, please notify us. We will be glad to reschedule your appointment at a more favorable time. We greatly appreciate your time and consideration and look forward to seeing you.

New Patient Forms:

If you have made your initial appointment, you can preregister by clicking on the links below to download our New Patient Forms. Please print and complete the forms prior to your arrival. Patients who are seeing specialists for pulmonary or sleep disorders must complete the supplemental forms in addition to the new patient packet. This will help to speed up the new patient registration process. If you have any questions, feel free to contact us.

• New Patient Forms
• Supplemental Form for Pulmonary or Sleep Disorder Patients
• Prescription Refill Policy
• Adult AWV Assessment Form
• Senior AWV Assessment Form (65+)
• OnPatient Registration

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Insurance:
We will assist you in filing your insurance claims.

Billing and Financial Responsibility:

Please call our billing office at 714-571-5000 if you have any questions regarding an invoice; we will be happy to assist you.

Find great doctors at Paloma Medical Group. Call 949-443-4303 or use our convenient Request an Appointment form. Our physicians welcome patients from Irvine, Mission Viejo, Laguna Niguel, San Juan Capistrano, San Clemente and nearby communities in South Orange County, CA.