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F1 FIRST TIME MULTI-FORM PATIENT INFORMATION

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If this is your first time at the clinic, please fill out the ADI Rehab form.

Fi First Time Multi-Form Patient Information, 

and send it before attending your first appointment.

FORM F1

First-Time Multi-form

Patient Information

Are you a current patient?

you must fill out and submit only the

F2 COVID-19 Questionnaire Form.

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Phone (appointments):

(310) - 481 - 0644

Fax:

(310) - 474 - 4034

Address:

10635 Santa Monica Blvd.,

Suite 165, Los Angeles, CA. 90025, USA.

Office Hours

Monday

8:00 am - 7:00 pm

Tuesday

8:00 am - 7:00 pm

Wednesday

8:00 am - 7:00 pm

Thursday

8:00 am - 7:00 pm

Friday

8:00 am- 7:00 pm

Saturday 

Patients have the gym

to themselves for the hour.

Sunday Closed.

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©2020 ADI Rehab. 

Design Idea & Media USA 2021