Telephone:
(310) 530-4460
Fax:
(310) 530-4464
Email:
rehabdoc@firsthealthca.com
Home
About Us
Our Clinicians
Our Staff
For The Patient
About Your Care
Exercise and Fitness
Insurance Coverage
Forms to Complete
Treatments
FAQ
Links
For Medical Practitioners
Online Services
Pay Your Bill
Contact Your Doctor
Request an Appointment
Forms
Contact Us
Contact Your Doctor
First Name*
Middle Initial
Last Name*
Date of Birth
Last 4 Digits of Social Security number*
Are you the patient?*
Choose one...
Yes
No
Parent or Guardian
Doctor*
Choose one...
Dr. Kowalski
Dr. Golembeski
Daytime Phone (xxx-xxx-xxxx)*
Cell Phone
Message to Provider
*Denotes Fields That Must Be Filled Out
Online Services
Pay Your Bill
Request An Appointment
Forms
