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New Patient Paperwork

Revive Family Health & Wellness offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them...
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Please bring your completed forms with you to your first appointment.

Revive Family Health is unable to accept new patients who are eligible for Medicare, Worker's Compensation, or Personal Injury claims.

OFFICE HOURS
Monday8:00am - 6:00pm
Tuesday8:00am - 6:00pm
Wednesday8:00am - 6:00pm
Thursday8:00am - 6:00pm
FridayBy Appointment
SaturdayClosed
SundayClosed
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Revive Family Health & Wellness
31225 La Baya Drive Suite 202
Westlake Village, CA 91362
(818) 851-9008

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