(949) 481-0118 | 30011 Ivy Glenn Dr. Suite 101 Laguna Niguel, CA. 92677

NEW PATIENTS

We’re always happy to see new patients and continue helping returning patients –
it’s simply our goal to help anyone in every way we can.

If you’re new to Dr. Paul Corona, just complete our New Patient Application Form (below). Once you submit it, we will set you up for an appointment.

If you’re a returning patient, see our Returning Patient information for fastest service!
Thank you and we look forward to helping you move into a more refreshing, rewarding lifestyle!

New Patient Evaluation Form

To make an appointment, simply call us at (949) 481-0118 during normal working hours, Monday – Friday.
Or email me directly at [email protected]

New Patient Evaluation Form

  • Physical Details

  • Emotional Details

  • Medical History

  • Important!

  • Please enter a number from 1 to 100.

If you are a new client with us, we ask that you complete this New Patient Evaluation Form and submit it here online or bring it with you to the appointment. It saves us so much time when this is completed in advance! Thank you and I look forward to working with you.

Welcome to my office. I look forward to meeting you and working with you. The more you can complete of this New Patient Form BEFORE our first meeting, the faster we can begin reaching solutions for you. Please just take a few minutes of your time.

While we would appreciate your completion of this entire form, we understand that you might not be entirely comfortable with completing some parts. That’s ok, too – just complete what you’re comfortable sharing with me, and we’ll cover the rest in our meeting together.

Thank you and I look forward to working with you. Please bring any current prescriptions with you to our meeting. Please also bring any medical records and lab work you have on hand, even if you think it doesn’t apply to the solutions you are seeking with me.

You can complete this form online, or you can Download a PDF, print it and complete it. Please either scan it and return it to me at [email protected] or bring it with you to the appointment.

Dr Paul Corona Books