Primary Care Registration

Registration Information

In an effort to minimize time needed to complete your office registration we have supplied our Patient Package below. It is in PDF Format and can be printed or downloaded using your computer.

• Gateway New Patient Packet – English

• Gateway New Patient Packet – Spanish

Adobe Acrobat Reader is required to open these files. Follow the link to download Acrobat Reader

If you wish to have this package mailed to your home, please call 714-517-2100 or submit a quick contact request. Fill in the required information on each form as completely as possible.

You may mail your completed forms to our office at:

Gateway Medical Center
New Patient Registration
710 N Euclid St
Anaheim, CA 92801

Or, you may bring your completed forms with you to the office on the day of your scheduled appointment.