Galant & Lin, M.D.'s Inc. Home
  Home    Site Map     Contact Us  


 

New Patient Registration


Name:
   
E-Mail:
   
Setup an Appointment:
 

Downloadable PDF Forms


Directions

1) The forms require the use of Adobe Acrobat Reader.

2) Download the forms to your hard drive.

3) Use Adobe Acrobat Reader to fill in the information.

4) Save when finished.

5) Please email the completed forms to Rhonda Robles at rhondar@galantandlin.com



 

 

 
Galant & Lin, M.D.’s Inc. • 1201 W. La Veta, Ste. 501 • Orange, CA 92868
Phone: 714-771-7994 • Fax: 714-744-4167