REGISTRACION DE PACIENTE NUEVO
NEW PATIENT REGISTRATION FORM
(323) 732-0100
info@bhchealth.org
BHC IMPERIAL
BHC IMPERIAL
611 East Imperial Hwy, Suite # 107,
Los Angeles, CA 90059
Hours:
Monday - Friday: 9:00 AM - 6:00 PM
Saturday: 9:00 AM - 2:00 PM
Sunday: Closed
click here for Directions:
https://goo.gl/maps/6ug584fdjTWtrhsj6
Phone: (323) 732-0100
Fax: (323) 756-1939
Name:
*
Telephone:
*
Email Address:
*
Subject:
How May We Help You:
About BHC
Appointment
Programs/Services
Donate/Support BHC
Locations
Others
Comments and Suggestions:
Type the character you see on the image (CasE SeNsiTiVe)
×
Patient Portal
Email
Password
Sign in