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Forms

Forms

Forms are typically emailed to patients prior to the first visit. Alternatively, you may click "Print and Fill" to fill out the form on paper and bring it to our office.

New Patient Packet

Print and Fill

Medical Record Release Authorization TO 

Synergy Primary Care

Print and Fill

Medical Record Release Authorization FROM

Synergy Primary Care

Print and Fill

Notice of Privacy Practices

View

Need Help? Go to our frequent questions or call us at 949-273-2888.

Appointment

Book an appointment by clicking here.

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Alternatively, you may also call/text 

949-273-2888 for an appointment.

 

Walk-in welcome. Call before your trip to our clinic recommended.

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Prepare For Your Visit →

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Business Info

Monday-Friday: 9 a.m. - 5 p.m.

Lunch Break: 12 noon - 1 p.m.

Saturday: Closed

Sunday: Closed

1/20/2025: Closed

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Tel: 949-273-2888

Fax: 949-273-2801

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Email: staff@synergypcp.com

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Get Directions

4330 Barranca Parkway, Suite 245, Irvine, CA 92604

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