Make an Appointment

Welcome to Surinder Saini, MD Inc.

To make an appointment with Dr. Saini, please fill out the following information.
We will respond within 1 business day with Dr. Saini’s availability as well as a secure link to our medical forms.

First Appointment Checklist
Things to do before your first appointment.

Office Information
Phone numbers and addresses of both offices.

Appointment Form

Appointment Schedule

Dr. Saini is available for appointments at the following times:

Monday
Fountain Valley
9:00am – Noon
1:30pm – 5:00pm

Tuesday
Newport Beach
1:30pm – 5:00pm

Wednesday
n/a

Thursday
Fountain Valley
1:30pm – 5:00pm

Friday
Newport Beach
9:00am – Noon

Your Full Name

Date of Birth

Your Email

Your Phone Number

How should we contact you?
 Phone Email

Referring Doctor

Reason for Visiting

Symptoms

Preferred Location
 Newport Beach Fountain Valley

Preferred Days
 Monday Tuesday Thursday Friday

Preferred Pharmacy Name and Address

Preferred Time
 Early Morning Late Morning Early Afternoon Late Afternoon

Anything Else?