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Allied Pain and Wellness offers our patient form(s) online so they can be completed in the convenience of your own home or office.

New Patient Forms: Click Here to Download Your New Patient Forms

If you do not already have AdobeReader® installed on your computer, click here to download. Download the necessary form(s), print it out and fill in the required information. Fax us your printed and completed form(s) or bring it with you to your appointment. New Patient Health History Form - Required This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

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  • Office Hours

    Monday: 8:00am-7:00pm
    Tuesday: 8:00am-7:00pm
    Wednesday: 8:00am-7:00pm
    Thursday: Closed
    Friday: 8:00am-7:00pm
    Saturday: 9:00am-3:00pm
    Sunday: Closed

  • Location

    Allied Pain and Wellness
    1209 N Hollywood Way #200
    Burbank, CA 91505
    Phone: (818)-688-2275
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    © Allied Pain and Wellness 2018 - 2021
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    contact information

    Allied Pain and Wellness

    1209 N Hollywood Way #200
    Burbank, CA 91505

    Phone: (818)-688-2275

    office hours

    Monday: 8:00am-7:00pm
    Tuesday: 8:00am-7:00pm
    Wednesday: 8:00am-7:00pm
    Thursday: Closed
    Friday: 8:00am-7:00pm
    Saturday: 9:00am-3:00pm
    Sunday: Closed

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