Documents Required for Appointment – Must Be Completed 48 Hours in Advance
To avoid delays or rescheduling, all patients must complete the following forms at least 48 hours prior to their appointment.
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Patient Information
Complete Form -
Medical History
Complete Form -
Disability Evaluation (DEQ)
Complete Form -
PHQ-9 and GAD-7 (Mental Health Screening)
Complete Form -
Pain Assessment
Complete Form -
HIPAA Compliance / Patient Consent Form
Complete Form⚠️ Failure to complete these forms at least 48 hours in advance will result in appointment delays or rescheduling.
If you need help or have any questions, please contact our office as soon as possible.
If you have any questions, please feel free to call our offices:
Inglewood Location
Telephone: 323 944 0949
Digital Text Messaging (HIPAA Compliant): 424 391 3739
Our staff are available to help with any questions or concerns you may have.
“We strive to ensure quality service”
To expedite your waiting process in our office, please print, fill out, and bring the necessary form to your appointment. We look forward to seeing you!
