1440 N. Harbor Blvd., Suite 105 Fullerton, CA 92835


New patients, welcome! Please print and complete the forms below and bring them to your initial appointment. If you would like to fill them out in our office, please come 45 minutes early. If you are able to complete them ahead of time, please arrive 15 minutes early to your initial consultation.

If your condition is complicated or if you have extensive prior records, we really appreciate if you are able to drop off the paperwork a few days prior to your appointment for Dr. Rajsree to review.

If you suspect you may have a hormonal imbalance, or if you are interested in being evaluated for bio-identical hormone replacement, please print and complete the appropriate forms below:

To read our office policies on patient confidentiality, see below:


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How we’ve helped others

“Dr. Nambudripad is one of the finest physicians I have ever had care for me... her extensive knowledge of health and well being is a big plus in a patient of hers....I was very pleased to see that she referred to my health questionnnaire often on my first visit with her. She did her homework too. She offered many reasonable solutions to my quest for good health...”
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- P Stanley in Los Angeles, CA | Jul 02, 2016
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