Skip to content
Dr. Thomas W. Ela
Menu
  • Home
  • Services
  • About
  • Contact
  • Location
  • Forms

Forms

Here are the necessary forms that you will need to bring on your first visit to our office. For your convenience, you may fill them out and print directly from our website.

  • Medical History
  • Patient Registration
  • Financial Responsibility Waiver
  • Notice of Privacy Practices
  • Authorization for use/disclosure of health information

All of the above forms can be downloaded in a complete packet here

Contact Us

Phone: (714) 780-9770
Fax: (714) 780-9773

Address:

Thomas W. Ela MD, Inc. 2282 N. State College Blvd. Fullerton, CA 92831
Copyright © 2025 Dr. Thomas W. Ela