3475 Torrance Blvd, Suite B-2
Torrance, CA 90503
 
  Telephone:310-316-7748  
  Fax:310-316-7648  
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  Patient Form  

Check list of things to bring to your appointment :

1) Health insurance card(s) (does not apply to workers compensation patients)
2) Signed therapy prescription
3) Picture ID/driver's license
4) Completed forms
(click on links below to get forms)
5) Please arrive 15 minutes prior to your appointment time
Use the links below to print your forms
Private Insurance, Workers Compensation, and Cash Patients Medicare Patients Additional Misc. Forms

Private, WC, and Cash Patient Forms

Medicare Patient Forms Minor Consent Form

 
   
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