Patient Forms

♻️ Tayani Institute has gone paperless.

📱❗ We now REQUIRE all patients to fill out their registration forms digitally through the link sent to you via email or text 1-5 days before your appointment.

📩 If you did not receive an email or text with the link, please call our office at (949) 489-2218.

📅 Please fill out all registration forms PRIOR to your appointment.

You will be sent a confirmation with a link/code to quickly check in for your appointment once you arrive at our office.

Patient Form

Medical Records Request Form

If you are our patient and would like to request your medical records, please fill out & submit the form below or contact our office at (949) 489-2218 to receive a Medical Records Authorization form.

Submit your filled out Medical Records Request Form

Medical Records Release Form Submission

Patient Portal

Logging into your patient portal, you can connect with your doctor through a convenient, safe and secure environment.

Hospital Affiliations

Our Surgeons are also contracted with many of Orange County’s Major Hospitals and Surgery Centers such as:

• Anaheim Hills Surgery Center
• Bear Valley Community
• Hoag Hospital
• Laguna Niguel Surgery Center
• Magnolia Surgery Center
• Mission Ambulatory Surgery Center
• Mission Hospital Mission Viejo
• Mission Hospital Laguna Beach
• Pacific Hills Surgery Center
• Providence St. Jude Medical Center
• Saddleback Memorial – Laguna Hills