Dr. Steven Benedict

East West Health

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Patient Forms

 

 

Please download the Patient Intake Questionnaire and either bring it with you to your first appointment or upload it below.  All of your information is secure and kept confidential.

Sincerely,

East West Health Team

Click to print or download the Patient Intake Questionnaire

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    CONTACT EAST WEST HEALTH

    11901 Santa Monica Blvd
    Suite 545
    Los Angeles, CA 90025
    Telephone: 310.442.7697

    Email:  DrB@EastWestHealth.org

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