Patient Forms
As a new patient, we would like you to complete the following two forms – New Patient and Privacy Statement. Click on the below PDF files to download and print these forms. Please bring the completed forms with you to your first appointment to expedite check in.

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Use this form to keep track of your spinal problems and potential solutions. You can then come back to www.irvinespine.com (http://www.irvinespine.com) to look up this information in our Interactive Education area.
Information regarding our Privacy Practices for your medical information.
Map to our clinic at the University of California, Irvine, Medical Center in Orange, California. The address is 101 The City Drive South, Pavilion 3, Orange, California. The phone number is (714) 456-7012. Follow the signs to the "Orthopaedic and Spine Center" in Pavilion 3 (also called Building 29A).
This is our New Patient Form. All new patients should download and fill this form out prior to their visit with us. This form can also be obtained via fax or regular mail by calling our office at (714) 456-7012.
Dr. Nitin Bhatia