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Patient Intake Form

Please complete the Patient Intake Forms and fax them to 760-610-5601 or bring them with you to your first appointment. Faxing will expedite the process of determining insurance involvement if appropriate.

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We accept the following forms of payment:

  • Visa
  • MasterCard
  • American Express
  • Cash
  • Personal Check
  • Medicare Provider
  • Insurance Assistance Provided