Accepted Health Insurance - click to open/close

UCLA Managed Care Network (HMO)

MultiPlan Network

Medicare

We also welcome "OUT OF NETWORK" contracts (Anthem Blue Cross, Blue Shield of CA, AETNA, United, Cigna, Writers Guild, SAG, Directors Guild, and AFTRA)

If your insurance company is not listed, please let us know, and we will do our best to work with you.

Westwood Clinic Information - click to open/close

10585 Santa Monica Boulevard, Suite 100
Los Angeles, CA 90025
Tel: (310) 481-0644
Fax: (310) 474-4034
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
Hours: 7am to 8pm, Monday-Friday

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New Patient Intake Forms

Please print out and complete all the forms below. Bring to your first appointment.

 

You can fill the 'Patient Information' form in online, on this page, to save you printing it out and filling in by hand, if you'd prefer (please remember to click the 'submit' button at the end of the form).


Consent Form (click here)

 



Health Questionnaire – download and print version (click here)

 



Insurance Verification Form – download and print version (click here)

 



Patient Information Sheet – download and print version (click here)

 


 

Patient Information Sheet – Online version