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Appointment Request Form

Don’t have time? Give us a call!

Call 714-421-4636

If this is an emergency, do not contact us via email, please use our emergency contact information.

Complete the following form:

  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
  • :
  • This field is for validation purposes and should be left unchanged.
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We now offer TeleHealth consultations, Call (714) 540-2020 to schedule a time

Our hours from now, April 20, 2020, to May 31, 2020, until further notice are:
Monday: 10:00 AM to 7:00PM
Tuesday: Closed
Wednesday: 10:00 AM to 7:00 PM
Thursday: 9:00 AM to 6:00 PM
Friday: 10:00AM to 6:00 PM
Saturday: 9:00 AM to 5:00 PM
Click here to read more