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3420 Bristol St #700, Costa Mesa, CA 92626

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Patient Forms

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SCORS-Admit-Notice-of-Privacy-Practices-1

Notice of Privacy

Standard-Notice-and-Consent-Surprise-Billing-Protection-Forms-for-Nonparticipating-Providers

Consent & Billing Form

New-Patient-Packet

Additional Forms

Additional forms coming soon...

3420 Bristol St #700, Costa Mesa, CA 92626

Satellite Offices

701 E 28th St. #100, Long Beach, CA 90806
1310 W. Stewart Dr. #308, Orange, 92868
10841 White Oak Ave., Rancho Cucamonga, CA 91730

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(888) 276-2214
(714) 485-3544

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coordinator@scorspecialists.com

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