Our clinic will be open 8am-4pm on 12/24 and CLOSED on 12/25 | Hours for 12/31 will be 8am-5pm, and 1/1 hours will be 9am-5pm.

Discover our exclusive offerings: DOT Physicals for only $99 and Immigration Physicals for an unbeatable $200.* Labs and vaccines are additional.

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(949) 207-3786
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Occupational Health Authorization & New Business Form

Welcome employers! Please fill out the form needed below.

New Companies: If you are inquiring about starting an account, please complete the New Company Form below.

If you prefer a paper authorization form, please CLICK HERE. Please link the PDF attached.

Authorization Form

- Please provide your WC info if you would prefer that we bill your insurance. If your company would like to be billed directly, please input BILL DIRECT.

New Business Form

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  • PATIENT RESOURCES
  • ABOUT US

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About Our Services:

Call (949) 207-3786 for more information about our Ladera Ranch urgent care services.