Please print one-sided only

Please use black or blue ink

Insurances Accepted

Located at the corner of Windmill and Antonio in Ladera Ranch.    We are in the white medical building 333 on Corporate Drive, Suite 260.  There is Handicap parking by each door, and parking is free.

We accepted most commercial and public insurances, including Medicare, Blue Cross/Blue Shield and Cal Optima. We also accept cash with hardship discounts available. 

HIPAA-compliant records request form for existing patients. 


Advanced TMS Center              

Specializing in depression treatment with Medications and TMS

Call us:  949-768-2988