New Patient Scheduling
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New Patient Scheduling

( * ) Your name and phone number or email are required fields, so that we can contact you to confirm your appointment

General Information

  • New patient fax number: 818-788-2333
  •  WC Secondary Treater(Consult) WC Primary Treating Physician Surgery Consultation Other Private Insurance Personal Injury QME AME
  •  Yes No

Employer Information

Insurance Information

Referring Source

  •  Email Phone Fax

Legal Information (if applicable)

Additional Information

PLEASE READ BEFORE SUBMITTING

Please advise your patients that the initial visit may take 3 to 4 Hours. This may include the need to obtain detailed history if it has not been performed prior to the office visit. Further testing may be required which will add to the time of the evaluation. Please advise your patients, so we can make their experience in our office pleasurable and comfortable. In order to avoid delay in the office, our historian will call the patient prior to the office visit and obtain detailed history of the patient. Please inform the patient that our office will call them at home and this will require about one hour. Please note that we have Spanish interpreters in the office. If your patient speaks different languages please arrange for the appropriate interpreter or inform us and we will be happy to make this arrangement.

Parking is $2 with validation in our Sherman Oaks Location. To receive validation, please bring your ticket to one of our friendly staff at the reception area. Our Beverly Hills office is $20.25 and validation is not offered for our patients. Our Pomona office has free parking..

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