Submit Patient Records Requests; attach legal proof that allows the release of information to the requestor. 

Attach Legal Documents
Upload supported file (Max 15MB)
Attach Legal Documents
Upload supported file (Max 15MB)
Attach Legal Documents
Upload supported file (Max 15MB)

EMPLOYMENT Records Requests; attach legal proof that allows the release of information to the requestor, otherwise we will only confirm if the employee has ever been employed. 

Attach Legal Documents
Upload supported file (Max 15MB)
Attach Legal Documents
Upload supported file (Max 15MB)
Attach Legal Documents
Upload supported file (Max 15MB)

1920 E. Katella Ave. Suite K. Orange Ca. 92867
             Scheduling 714-997-4262 Billing 714-627-9195 Fax 888-689-9070