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Contact us by email or call us at: (310) 883-4472

The Wellness Bank offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

 

New Patient Health History Form – Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


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Services
We strive to provide complete care for our patients. Learn more about all the services we provide.
Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.