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1301 ROSE DR
PLACENTIA, CA 92870
714-993-2000
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For Physicians 
 
 
 
 

We believe that building relationships with physicians is a major way to secure a successful future in the rapidly evolving health care industry. Our facility offers a wide variety of rewarding and challenging practice opportunities as a medical staff member. 

Physician Office Surgery Scheduling Information --

***UPDATES TO “NEW” SCHEDULUING FORM-JULY, 2011 – For offices using the new scheduling form, please note a couple of updates (July, 2011) –

On-Line Surgery Scheduling Form
 -- Link to New form

1.   Patient Information Section -- It is now required to provide a “home phone number” (or some main contact phone # for the patient).  The “Home Phone #” field is now in red.

2.       Surgery Information Section – The “Special Equipment” title, is now called “Special Equipment/Proctoring/Notes.”  Please include proctoring information (if applicable), and any other special notes in this area.

3.      At the bottom of the form (after “Scheduling Office #”), a field has been added (that is required to be completed) for you to put your email address.  You will now need to provide an email address so we can reply to you with a confirmation and needed information for Placentia-Linda’s Surgery Department. Thank you! 

Surgery Scheduling Registration form  (Original form as of 2007)

If this is a Worker’s Comp case, we recommend you register the patient using the new form, which has required fields to be submitted with WC cases.  Also, if it is required that the physician be proctored, please note that on this form as well (it is already a field on the new form as well).

Thank you!

  • Tips for completing the Surgery Scheduling Form --
    • If you hit "Submit" and it does not go through, please review your data entry to see if there is a highlighted red "Required" field, which indicates that field must be completed in order to submit the form.
  • Thank you for using our on-line Surgery Scheduling Form.  It is one of the ways we are making access to scheduling as easy as possible for you.  If you have any questions, please call Surgery at (714) 524-4817 and we'd be happy to assist you!

CONTINUING MEDICAL EDUCATION CALENDAR
CMEs are held every other Monday at 12:30 p.m. in Meeting Room #1.  
For more information, please call (714) 524-4252.

 

LOOKING FOR MEDICAL OFFICE SPACE?
If you are a physician looking for medical office space, you may contact our Director of Business Development, Mary Ann Railey, at (714) 524-4831.

ROSE MEDICAL  PLAZA 
Rose Medical Plaza offers medical office space for a variety of medical services and physician specialties.  The Plaza is 25,000 square foot, two-story medical office building on the campus of Placentia-Linda Hospital and provides physicians a convenient and modern environment for their medical practice.  For more information on leasing medical office space, please contact John Wadsworth at (949) 474-0707. 

Other Physician Services:
Physician Dictation -- If you have any questions or issues, please contact our Medical Records Department at (714) 524-4846.

Medical Staff Office Hours and Services -- Our Medical Staff Office is available to assist you with your needs.

 
 
 
 
 
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