The date/time of your request will help us confirm your expected appointment time. If we are busy during your requested time one of our dedicated staff members will contact you to see the next best available time for you. If you have any questions give us a call (714)634-4884. Thank you for your understanding.
Name, Street Address, City, State
This information will help the doctor prepare to see you. List any pain, symtoms, how long you have been feeling this way etc. The more detail the better.
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