Speciaty Care

Pain Management

New Patient Assessment

If you have been referred to R. Kwok, MD, for pain management services,  there are a few forms  you will need to download and complete prior to your appointment. These forms can be found under the drop-down box under "Pain Management." Please print out the form below (click on the link), complete it prior to your appointment, and bring it to your appointment. If you have any questions about these forms or need assistance with their completion, please contact our office at 714-577-6031.

• New Patient Assessment form

This notice is a pdf document which requires the Adobe Reader software. You most likely already have this software on your computer. However, if you have difficulty reading the notice, please click here to install Acrobat Reader.

What to Bring to Your Appointment

Please read through our list of Thing to Bring to Your Appointment. If you have any questions about these forms or need assistance with their completion, please contact our office.

• What to Bring to Your Appointment

This notice is a pdf document which requires the Adobe Reader software. You most likely already have this software on your computer. However, if you have difficulty reading the notice, please click here to install Acrobat Reader.

Established Patient Return Visit

If you are an Established Returning Patient, please download this form to make your return visit smooth and quick. If you have any questions about these forms or need assistance with their completion, please contact our office.

• Established Patient Return form

This notice is a pdf document which requires the Adobe Reader software. You most likely already have this software on your computer. However, if you have difficulty reading the notice, please click here to install Acrobat Reader.

Abbreviated Patient Assessment

Our Abbreviated Patient Assessment form is available to you via the website in order to make your registration with our practice more expedient. If you have any questions about these forms or need assistance with their completion, please contact our office.

• Abbreviated Patient Assessment form

This notice is a pdf document which requires the Adobe Reader software. You most likely already have this software on your computer. However, if you have difficulty reading the notice, please click here to install Acrobat Reader.

Dietary

The Diet History form is in addition to all the standard patient forms and must be completed prior to your first visit with our Registered Dietician.

• Diet History form

This notice is a pdf document which requires the Adobe Reader software. You most likely already have this software on your computer. However, if you have difficulty reading the notice, please click here to install Acrobat Reader.

Cardiology

This section of our website is in development. We apologize for the inconvenience, please check back later.

Allergy

This section of our website is in development. We apologize for the inconvenience, please check back later.

Obstetrics/Gynecology

This section of our website is in development. We apologize for the inconvenience, please check back later.