New Patient Paperwork

Pacific Coast Kinesiology Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • New Patient Intake Form

    Click to Download

  • Notice of Privacy Practices

    Click to Download

  • General Financial Policy

    Click to Download

  • Assignment of Benefits

    Click to Download

  • Informed Consent Form

    Click to Download

OFFICE HOURS


Monday
9:00am - 5:30pm


Tuesday
Closed


Wednesday
9:00am - 5:30pm


Thursday
10:00am - 5:30pm


Friday
Closed


Saturday
By Appointment Only


Sunday
Closed

Pacific Coast Kinesiology Center

30270 Rancho Viejo Rd # E
San Juan Capistrano, CA 92675

(949) 716-3930