Welcome to the ENTRUST Appointment Center. Please contact our patient care number for general questions (714) 543-2000. To schedule an appointment, please contact the physician scheduler directly below.

What you should bring to your appointment
Click here for a list of our physicians
Click here for online patient forms

ENTRUST MEDICAL GROUP LOCATIONS		Speech and Audiology Testing Center
1140 West La Veta Ave Suite 520 Orange, California 92868 Tel: 714 543 2000 Fax: 714 543 8804	400 Newport Center Drive Suite 500 Newport Beach, CA 92660 Tel: 949-719-1800	302 W. La Veta Ave Suite 201 Orange, CA 92866 Tel: 714-538-2966
Directions	Directions	Directions

 

What should you bring to your appointment at ENTRUST?

We want to answer as many of your questions at your visit.

Please prepare for this by bringing:

• Health Insurance Card/Information
• A friend or family member to take notes/help with questions
• A list of all medications you are taking
• A list of your questions /concerns
• A copy of your XRAYS / CT scans (not the reports - get the actual films)
• Copies of records from doctors related to your sinuses/nose/allergies/lungs.
• Completed FORMS

• New Patient Forms
• Nuevo Paciente Espanol Forma
• Other Forms

Patient Forms

Please download, print, complete and bring the following forms to your appointment.

Patient Information Sheet
Patient Medical History
Notice of Privacy Practices and Rights about your health information
Acknowledgement of Reciept of Privacy Practices
A message to our patients about arbitration

Español forma

	Hoja Paciente De la Información
	Historial Médico Paciente - 1
	Historial Médico Paciente - 2
	La nota de Prácticas de Intimidad y Derechos acerca de su información de la salud
	Reconocimiento de Reciept de las prácticas de la aislamiento
	Un mensaje a nuestros pacientes sobre el arbitraje

These forms require free Adobe reader software. Click here if needed.

Our Physicians & Contact Information

Navin P. Amin, M.D., F.A.C.S.	Learn more
1140 West La Veta Avenue Suite 515 Orange, California 92868 Tel: 714 953 6928 Fax: 714 543 8804
Robert del Junco, M.D., F.A.C.S.	Learn more
1140 West La Veta Avenue Suite 520 Orange, California 92868 Tel: 714 543 2000 Fax: 714 543 8804 400 Newport Center Drive Suite 500 Newport Beach, CA 92660 Tel: 949-719-1800
Edward S. Lee, M.D.	Learn more
1140 West La Veta Avenue Suite 520 Orange, California 92868 Tel: 714 543 2000 Fax: 714 543 8804
Simon J. Madorsky, M.D.	Learn more
1140 West La Veta Avenue Suite 515 Orange, California 92868 Tel: 714 543 6540 Fax: 714 543 8804 400 Newport Center Drive Suite 500 Newport Beach, CA 92660 Tel: 949-719-1800
ENTRUST Medical Group Hearing Services	Learn more
302 W. La Veta Ave Suite 201 Orange, CA 92866 Tel: 714-538-2966 Diagnostic Hearing Evaluations Audiology services ABR Testing ENG testing