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

To make an appointment, simply call us at (949) 481-0118 during normal working hours, Monday – Friday. Or email me directly at DrCorona@DrpaulCoronaMD.com

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.

New Patient Evaluation Form

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 DrCorona@DrPaulCoronaMD.com or bring it with you to the appointment.

  • Physical Details

  • Emotional Details

  • Medical History

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  • Please enter a number from 1 to 100.


Online Resources

Healing the Mind and Body: Volume 1

Over the last 30 years, Dr. Paul Corona has treated tens of thousands of patients who struggle with a number of common ailments and issues because of chemical imbalances in the nervous system.

Healing the Mind and Body: Volume 2

In this Doctor and Patient Guide of Healing the Mind and Body you will learn: Why the cooperative healing process begins in the exam room and what you can do during the interview to maximize its benefits.

Healing the Mind and Body: Volume 3

Patients are as likely to be interested as doctors in this third volume of Dr. Paul Corona’s Healing the Mind and Body by discovering the critical importance of…