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Call us at (760)232-6368
or
Appointment Booking is now open!
36101 Bob Hope Drive, Suite B3
Rancho Mirage, CA 92270
(located in the Arabella Wellness Suites)
New Patient intake forms
Please click on one of the links below to either print and complete the forms manually or to complete and submit them online.
(*please read if you choose to print the forms and complete manually)
All forms must be completed in their entirety, signed by the patient, and brought to your first appointment.
Failure to do so will cut into your treatment time and could result in cancellation of your appointment and a charge for late cancellation.
Click here to read our Notice of Privacy Practices
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