3916 Sepulveda Blvd. Ste. 208  
Culver City, CA 90230   
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Express Registration

We make it easy for you to register for care by having you complete as minimal amount of paperwork as possible. Please complete and bring the following forms with you on the first visit.

1. Express Registration Form

2. Financial Hardship Form

3. Privacy Notice

4. Assignment of Benefits Form
(Optional. If you want us to deal directly with your insurance company)


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click here to download.



*100% Money-Back Guarantee

How to Prepare for Your 1st Appt/Exam


   


 
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Patient Testimonials
"I feel as though I had never been injured. My quality of life has
greatly improved."
- Belinda N., Los Angeles, CA.

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Blessed Orthopedic Physical Therapy - 3916 Sepulveda Blvd. Ste. 208, Culver City, CA 90230
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