New Patients Check List

Doctor and Family – Irvine CA
Irvine Urgent Care™ is staffed by board-certified family and emergency physicians who are skilled in the treatment of non-life-threatening injuries and illnesses.

To Save Time:
Please download the appropriate forms and bring completed copies of the respective forms to your appointment.

If you are a New Patient:
Note: You will need Adobe® Acrobat reader to view and print out the forms which have been saved as .pdf files. If you do not have Adobe Acrobat reader, you can obtain a free copy through this link.