13132 Newport Ave #100 Tustin, CA 92780 Phone (714) 565-7960 Fax (714) 565-7982
Pediatric & Adult
Medicine,Inc.
The following forms are available for download.
Once the form is completed - you may fax it to us at (714) 565-7982.
New Patient Registration Form
Consent for Treatment
ADD Medication Refill Request
Physician's Report - Child Care Center
Report of Health Examination For School Entry
Orange County School Medication Form