Patient Forms

To expedite your check in process, we encourage you to fill out the necessary forms. Please download the forms to print at home, fill out completely, and bring with you to your first appointment.

If you have any questions about which forms you need to fill out, just give us a call (562) 799-4494.

Man Writing Insurance Application Form Concept

ADDRESS

3662 Katella Ave, St. 105
Los Alamitos, CA 90720

EMAIL

inquiries@cprx.org

PHONE

(562) 799-4494

FAX

(562) 280-0304

HOURS

Monday- Friday
7am-12pm & 1pm-6pm

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