Please take the time to fill out the health history questionnaire in detail so we can better understand your current symptoms, concerns and health goals.  This will enable the doctor to spend more time with you one on one, not in asking basic questions.  Bring in your completed form to our office on you 1st visit.

Click here to download New Patient Form in PDF format.

 

Tel: 949 497 2553 • Fax: 949 497 5273
Email: hiblagunab@aol.com
330 Park Avenue, Suite 3, Laguna Beach, CA 92651

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