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

31225 La Baya Drive Suite 202
Westlake Village, CA 91362

(818) 851-9008