Form Submission

Thank you!


Your Form was submitted to our office. It will be processed in the order it was received. We will review it and contact you in case we need more information. We appreciate your trusting us for your healthcare needs. 


If you need further assistance, please do not hesitate to contact us at 626-354-6440 Monday through Friday, from 8 am to 6 pm.


Pasadena Clinical Group
Office of Medical Records