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Call Us: (951) 679-2358
Monday - Thursday 8:00am to 5:00pm, Friday 8:00 am to 4:30 pm
Closed for lunch from 12:00pm to 1:00pm

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New Patient Packets

Forms for Dr. David Nguyen

To download the new patient packet forms for Dr. David Nguyen, please click here.

Forms for Dr. Thang Nguyen

To download the new patient packet forms for Dr. Thang Nguyen, please click here.


Additional Forms

Welcome Information
Acknowledgement of Receipt of Notice of Privacy Practices
Advance Directive Status
Authorization to Release Medical Records
Consent to Treatment – DN
Consent to Treatment – TN
Emergency Contact Information
Guarantee Financial Notice
Medicare
Notice of Lab Results
Patient Account Information
Staying Healthy Assessment
TB Exposure Risk Assessment

Contact Us

Address:
27830 Bradley Road Sun City CA 92586
Phone: (951) 679-2358
Fax: (951) 672-8599

Hours

Monday - Thursday 8:00am to 5:00pm
Friday 8:00 am to 4:30 pm
Closed for lunch from 12:00pm to 1:00pm

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