New Patient Appointment

Sylvain Palmer, MD, FACS

For New Patients

We want to make your first visit easy for you. We also want to help speed up your appointment by making it possible for you to download and complete our required forms before arriving for your initial appointment. You can complete the forms and email them back to us by replying to this email at sylvainpalmermd.forms@gmail.com.

You can also mail them to our mailing address:

Sylvain Palmer MD INC
668 North Coast Hwy, #422
Laguna Beach, CA 92651

Simply click on the individual form link below. You can fill out all areas of the form on your computer and then print them to bring with you to your appointment. Please save a copy of the completed forms for your records. When you arrive and check-in for your scheduled appointment, hand us your forms and we can start processing your records right away.

Patient Intake FormPatient Agreement

Please remember to bring your imaging on CDs (including, MRI, CT & X-rays), any reports from related imaging, testing, and procedures, your insurance card, and your driver’s license. You can also upload your CD of images here on the link below:

CD Uploader Ambra

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Sylvain Palmer, MD