Colleagues, thank you for trusting us with the continuing care of your patient. We have developed two forms to help make the transmission of information and records seamless and allow us to step in and begin care immediately.
If you have any questions, please contact our office at 626-345-9735 or email us using the form on the right. Please fax the following information to 626-628-0478:
- Written order
- Recent visit notes, medication history & imaging
- Insurance & demographic information
- Authorization (if required)
We require a written referral for all new patients.