Diabetes Associates Medical Group
  • Have a Questions? Call Us Now! 714-639-1815
  • Location:
    1310 West Stewart Drive, Suite 610, Orange, California 92868
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Forms & Policies

Home » Resources » Forms & Policies

If this is your first visit to our practice, please fill out the New Patient Information form provided below and bring it to your appointment. The form will open on your screen when you click on it. You can type directly into each field, and once completed, simply print the form from your computer.

Additional Forms / Requests

  • Access to Medical Records
  • Accounting of Usage of Medical Records
  • Medical Record Amendment Request
  • Restriction of Use/Disclosure of Protected Health Information (PHI)
  • Privacy Complaint
  • Glucose Log
  • New Patient Form Formulario de Nuevo Paciente

Policies

  • Prescription Refill Policy
  • HIPAA Manual

Questionnaires

  • Abnormal Blood Pressure Cuestionario de Presión Arterial Anormal
  • Calcium Disorder Cuestionario de Calcio
  • Diabetes Cuestionario de la Diabetes
  • Hair Loss Cuestionario de la Caída del Cabello
  • Hormone Cuestionario de la Hormona
  • Osteoporosis Cuestionario de la Osteoporosis
  • Thyroid Disease Cuestionario de la Tiroides
  • Weight Questionnaire

Connect with UsContact Details

For any urgent concerns, please don’t hesitate to contact us. We look forward to supporting you on your health journey!

Diabetes Associates Medical Group
Call Us Today! Phone Number: 714-639-1815
Locate Us
1310 West Stewart Drive, Suite 610, Orange, California 92868
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