New Patient Forms

Dear New Patient

Please complete and submit all 3 forms prior to your first appointment .  These forms MUST BE SUBMITTED ON OUR SECURE PORTAL.  

Once we receive all the forms, we will confirm your benefits with your health plan and contact you to schedule your appointment .  

Please note: This site is secured with the leading provider of online security. To safeguard your privacy, these forms were developed to comply with HIPAA Regulations. Your personal information is kept safe from interception.

Thank you for your time, we look forward to meeting you soon.

Let Us Help You Find the Right Diagnosis and Treatment Options

We specialize in the consultation and treatment of adults (18 yrs and older) with neurological issues.

Contact Us Today!

Why Choose CNS?

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Successful treatment starts with an accurate diagnosis.
Dr. Kalinian takes the time to listen, evaluate and come to the appropriate and personalized treatment for you.


Dr. Kalinian has the experience and trust of her patients.
Her vast knowledge, deep curiosity, patience and eagerness to tackle anyone’s case puts her above the rest.

Coastal Neuropsychology & Concussion Specialists_logo

30320 Rancho Viejo Rd., St 102,
San Juan Capistrano

We Serve All of Orange County including

San Juan Capistrano, Dana Point, Laguna Beach, San Clemente, Aliso Viejo, Laguna Hills, Laguna Niguel, Ladera Ranch, Coto de Caza, Lake Forest, Costa Mesa, Irvine and beyond.