To Book an Appointment please complete and submit the Patient History form and the Consent to Treatment form prior to your first visit. You can safely and securely Email or Fax your information knowing it is protected information under HIPPA (Health Insurance Portability and Accountability Act of 1996).
I will contact you and arrange a 75 minute intake/treatment session.
(626) 689-8131 office firstname.lastname@example.org (626) 240-2407 fax
973 E Villa Street, Pasadena, CA 91106