1 (800) 597-7977 After hours: 1 (714) 665 9890
To save time during your visit at Families Together, please fill out and bring the below forms to your next appointment. More information about each form can be found below.
If you are a new patient, please fill out this form, print it out and bring to your appointment.
If you are interested in the sliding fee scale, please fill out this form, print it out and bring to your appointment.
If you are a new patient with our Behavioral Health department, please fill out the counseling contract bring it in to your first visit.
If your child does not have medical insurance, parents may fill out this application prior to their child’s appointment.
Keep up to date with the latest updates, news, events and more with our newsletter!
Subscribe