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First Visit

Download and fill our patient intake forms beforehand

first visit forms

Download and Fill Our Patient Forms

Inland Regional Center

Select the appropriate form based on your age. There are two different patient intake forms: one for children from 0-18 years old and one for adults older than 19 years old.

Department of Social Security Disability Determination Services (SSDI)

Select the appropriate form based on your age. There are two different patient intake forms: one for children from 0-18 years old and one for adults older than 19 years old.
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Insert the code we provided to download our patient intake forms.
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Insert the code we provided to download our patient intake forms.
Insert Code
Insert the code we provided to download our patient intake forms.