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Get The Care You Deserve


Expert Case Support – Our physicians provide detailed evaluations, objective reports, and expert medical opinions.
Lien-Based Treatment – We offer medical liens to ensure patients receive immediate care without financial strain.
Streamlined Communication – Dedicated case coordinators ensure seamless updates and efficient legal collaboration.
Proven Track Record – Trusted by attorneys and case managers across California for high-quality injury care.

Book Us In A Location Near You

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Beverly Grove

8436 W 3rd St. Suite 800

Los Angeles, CA  90048

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Downtown LA

1400 S. Grand Ave. Suite 707

Los Angeles, CA 90015

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San Leandro

13690 E. 14th Street, Suite 100, San Leandro, CA 94578

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Tarzana 

18840 Ventura Blvd, Suite 207

Tarzana, CA 91356

Patient Referral Form

Thank you for choosing The Orthopedic & Spine Institute. Please fill-up this form and a member of our team will contact you with appointments details.

Please Note: Same-day appointments not available on Fridays and Mondays.

Date Of Birth
Month
Day
Year

Street # + Unit # (if any)

Appointment Type
In Person
Virtual
Patient need Interpreter?
Yes
No

Referral Information:

Law Firm | Medical Office

If different from requestor.

Date of Injury (if any)
Month
Day
Year
Injured Body Part

Please select the body injury area. Select all that apply.

How did you hear about us?
Marketing Team
Existing Referrer
Google Search
Friend or Family
Referred By PCP
Other
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