New Patient Paperwork

Revive Family Health & Wellness offers our patient form(s) online so they can be completed 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.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

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

OFFICE HOURS


Monday
8:00am - 6:00pm


Tuesday
8:00am - 6:00pm


Wednesday
8:00am - 6:00pm


Thursday
8:00am - 6:00pm


Friday
By Appt.


Saturday
Closed

Revive Family Health & Wellness
31225 La Baya Drive Suite 202
Westlake Village, CA 91362
(818) 851-9008