AFC Ladera Ranch Occupational Health Authorization
CALL US TODAY | (949) 207-3786
Now Offering Annual Memberships for Cash Pay Patients
For a $75 registration fee ($100 per visit), get a 20% discount on services and more benefits.
Learn More
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.
How Can We Help?
- PATIENT SERVICES
- COVID-19 SERVICES
- TELECARE
- EMPLOYER RESOURCES
- PATIENT RESOURCES
- ABOUT US
CALL US | (949) 207-3786
Don't wait to get the medical attention you need.
CALL US TODAY | (949) 207-3786
