Patient Forms

Welcome to our Office Form
File Size: 6 kb
File Type: pdf
Download File
Feel free to print out and complete this Welcome Form before your office visit for your convenience.
Medical History Record
File Size: 6 kb
File Type: pdf
Download File
Feel free to print out and complete this Medical History Record before your office visit for your convenience.
Contact Us
South Pasadena Medical/Dental Bldg.
1941 Huntington Dr., Suite F
South Pasadena, CA 91030
Phone: 626-799-2212
Office Hours
Mon   10:00 am - 5:30 pm
Tue     10:00 am - 5:30 pm
Wed    10:00 am - 5:30 pm
Thu     10:00 am - 5:30 pm
Fri       Closed 
Notice of Privacy Practices
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