Health History and Patient Information

Fred Khonsari, MD

Diplomate of the American Board of Urology

A Professional Urology Practice

1140 W. La Veta, Suite 605

Orange, CA 92868

(714) 547-7457

FAX (714) 547-6202 

Please complete either of the documents below prior to your visit and bring to your visit with Dr. Khonsari
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Webmaster at FredKhonsari.com,
May 5, 2010, 7:48 PM
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Webmaster at FredKhonsari.com,
May 5, 2010, 7:48 PM
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