Contact

We want to hear from you! Write to a therapist or other staff member. Question about physical therapy? Inquiry about insurance coverage/pricing? Schedule a group or individual screen. Learn more about wellness services.

Phone:

510.339.2116

Fax: 510.339.0647

Hours

Mon - Thu: 7am - 4pm
Fri: 7am - 1pm

Medau Office

6116 Medau Pl
Oakland, CA 94611

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Client

Forms

Client Forms Save Time. Download & fill out forms before your visit.
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Pay Bill Online payment for your convenience.
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Appt

Request Appointment We will contact you within 48 hours.

Appointment Request

Please fill out this form and we will contact you within 48 hours.

"*" indicates required fields

Name (as appears on insurance card)*
First Last
Contact Phone Number
Contact Email

Date of Birth
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Current Client? Yes No
Preferred Time of Day
Preferred Day of Week
Preferred Location
Primary Insurance Carrier
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Secondary Insurance Carrier
Secondary Insurance Carrier Member ID #
Notes or Specifications
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Security Question
Phone
This field is for validation purposes and should be left unchanged.
Ref

Form

Referral Form PHYSICIANS: Please fax referral to 510.339.0647