Release of Information

New Patient? Please Preregister and join our practice by clicking the link below.

Click here to Preregister as a new patient

If you are  current patient and would like to schedule an appointment please do one of the following:

As a new patient you may be required to provide additional information regarding your medical, dental, or behavioral health history related to the specific services you are needing. You will be able to fill out required information through our patient portal once you are registered.

You can request medical records through our patient portal. If you have trouble logging in please call us at 619-234-2158.

To fill out the form on Healthy Access Programs/Family Pact Programs Client Eligibility Certification (CEC) please click the image below to open our PDF. Please print, fill out the necessary information and send back to If you need assistance with the form, please call us at 619-234-2158.

Click here for Client Eligibility Certification Form