New Patient Intake
Revive 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.
- Bring the necessary form(s) 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
8:30am - 5:30pm
By Appointment
Tuesday
8:30am - 5:30pm
By Appointment
Wednesday
8:30am - 5:30pm
By Appointment
Thursday
8:30am - 5:30pm
By Appointment
Friday
By Appointment
Saturday
Closed
Revive Health & Wellness
4333 Park Terrace Suite 205
Westlake Village, CA 91361