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Pacific Medical Clinic
1534 E. Warner Avenue, Suite A
Santa Ana, CA 92705
Phone: (714) 557-5599 | Fax: (714) 557-5005

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Downloadable Patient Forms

pdf-icon Employer Profile 2018

pdf-icon HIPPA+General – English

pdf-icon HIPPA+General – Spanish

pdf-icon Injury Questionnaire

pdf-icon Payment Policy

pdf-icon PPE – English

pdf-icon PPE – Spanish

pdf-icon RTW Questionnaire

pdf-icon Treatment Authorization

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Location:
1534 E. Warner Avenue
Suite A
Santa Ana, CA 92705

(714) 557-5599
24 Hour Services

Clinic Hours:
Monday – Friday
8a.m –6p.m.

Saturday morning appointments available by request.

Go to our Contact Page

Location

Pacific Medical Clinic
1534 E. Warner Avenue, Suite A
Santa Ana, CA 92705

(714) 557-5599
24 Hour Services

Clinic Hours

Monday – Friday
8a.m – 6p.m.
Saturday morning appointments available by request.

Navigation

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  • Welcome To Employers
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  • Occupational Care
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