1975 3-D TIC TAC TOE CHAMPION of the Orange Unified School District.
Board Certified by the
American Board of Family Practice.
Certified in Medical
Acupuncture by Helms
Medical Institute.
Special interests: Pediatrics,
Gynecology, Mental Health,Wellness/Whole Person Care,
Integrative/Alternative Medicine, General Family Medicine.
Graduate of Loma
Linda University, Class of 1987.
Hospital affiliation:
Hoag Memorial Presbyterian
Hospital, Newport Beach.
Insurance Plans Accepted:
Monarch IPA
(Independent Provider Association), State of California
Breast Cancer Early Detection Program, many PPO/EPO
plans. Please call office for specific plans accepted.
Examples of my treatment
philosophy: colds and insomnia.
NEW PATIENTS - please download and print these forms:
For your records Welcome Letter
For your first visit Patient Information Form
Patient History, History
Form (for children, Pediatric
History)
Notice of Privacy Practices
(HIPAA)
Advance Health Care Directive, Form
and Instructions
This is a document which should be kept with your personal papers. It designates the person you chose to make health care decisions on your behalf should you be incapacitated and unable to make those decisions. You can specify your desires should you have a condition with a low likelihood of recovery, such as a severe brain injury. It could be very helpful for your loved ones and your medical team if your wishes are clear in writing and save years of court battles and mental anguish on the part of loved ones caring for your needs.
Arbitration Agreement
(Note: This is required by all medical practices and
MUST be completed and signed for you to be seen by
the doctor. If you have any questions, please contact an
attorney prior to establishing care with our office.
Thank you!)
Be sure to bring the completed forms along with your insurance card to your first visit. If you prefer, you can FAX the completed forms and a photocopy of your insurance cared to our office prior to your first visit. Our FAX number is (949) 646-1310.