Report a Problem | Practice Privacy | Accessible Version
PATIENT ACKNOWLEDGEMENT AND CONSENT TO ONLINE INTERACTION POLICIES I wish to use Internet-based communications, registration and other Internet-based modes of interaction to facilitate my receipt of health care from this practice. Benefits and Risks:
Confidentiality and Security of Information:
1501 Superior Ave Suite 202 Newport Beach, CA 92663-3641 Phone: (949) 631-3600 Fax: (949) 407-6106
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