Become A Patient Please submit your information below, and we will reach out to you shortly. Select Service Requested * Pulmonary Rehabilitation: Evaluation & Treatment Physical Therapy: Evaluation & Treatment Occupational Therapy: Evaluation & Treatment Patient Name * Physician Name Physician Phone Number Enter Your Email * Date Of Birth * Patient Phone Number * Select Insurance * Self Pay Aetna Align Network Blue Cross PPO Blue Shield Cigna PPO Community Health Group - CHG Corvel Network Health Comp Humana Medi Care MediCal Multicultural Primary Care Mutual Of Omaha Network Synergy Group Personal Injury-Auto Accident-Lien-Cases Scripps Medical Physician Medical Gro Sharp CMG - Pulmonary Rehab Only Transamerica Triwest - VA United Healthcare Other Other Comments / Additional Information * Thank you, We’re reviewing your request and will get back to you!