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About us |
| Peninsula
Office LCD Spinal Care System 32 W. 25th Avenue, Suite 100 San Mateo, CA 94403 (650) 349-1516 |
East
Bay Office LCD Spinal Care System 11100 San Pablo Avenue El Cerrito, CA 94530 (510) 232-4333 |
E-Mail:
LCDSpine@Yahoo.com
We offer a Complimentary Initial Consultation on Spinal Decompression Therapy.
This includes a review of your medical history, a review of your diagnostic
studies such as x-rays, MRI/CT scans. This will help us determine if you
are a candidate for this type of therapy. We will also, free of charge,
verify your insurance benefits and determine what the cost will be for you,
if any.
Request 30 minute Medical Documentary on Spinal Decompression Therapy:
We, at LCD Spinal Care System, understand your RIGHT to privacy. Please be assured that we do NOT share your personal information without your explicit consent. Only representatives of LCD Spinal Care System will contact you regarding your requests for information and/or patient scheduling. Please contact our clinic for a full description of your privacy rights under the Federal HIPPA Act.
Note: * - Indicates that this is a Required field.
Personal Information
*Name :
_________LAST__________ __MI__ ________FIRST_________
*Address: _____________________________ Apt/Suite#_____________
*City:___________________ State:__________ Zip:__________________
*Phone (Home):____________________ Phone: (Other)__________________
*E-Mail:___________________________
Media Preference:
DVD cd-ROM