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Please fill out the form below to REQUEST YOUR APPOINTMENT. Also, for faster service please complete the link, so we can verify your insurance ahead of time: (COPY and PASTE Link): https://hipaa.jotform.com/202185809777164 .For Workers' Compensation patients, please call 661-705-9712. For Eisner Health, Community Family Care Medical, Regal/Lakeside Medical (San Fernando/Burbank Area), please call 213-747-5542.

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