New Patient Forms

Hello and welcome:

Our address is 1224 10th Street, Suite 207, Coronado CA 92118.

We have found that it is wise to let new patients know they should not use MapQuest or any other app for mapping to find our office in Coronado because of our traffic from North Island.

Please use the following directions:

After going over the Bridge travel to Orange Avenue, which will be the first light that you come to. Take a left on Orange Avenue and then travel to 10th Street and take a left there. We are about a block and a half up 10th on the right hand side in the El Dorado Square Building. We have two marked parking spaces in the lot. Our spaces are just to the right of the back staircase. The office is just at the top of the stairs. If you need an elevator there is one in the front of the building on the 10th Street side.

If you have questions, please call the office at 619-437-6600.

Patient Forms

Please fill out your new patient forms prior to your initial appointment with Dr. Mary Anne and bring them with you.  You’ll want to allow yourself 15-25 minutes to complete them.  Let us know if you have any questions.

All new patients must complete this HIPPA form and one of the forms below, depending on age:


New Patient: New_Patient_and_HIPPA_Form

Children over 1-17 years:  New Pediatric Intake Form

Infants 0-12 months: INFANT Intake 0-12 mons NEW

Adults 18+: Adult_History_Form[1]

Contact Us

Mary Anne Morelli Haskell, D.O. F.A.C.O.P
1224 Tenth Street, Suite 207
Coronado, CA 92118

Phone: 619-437-6600
Fax: 866-868-5194