Book My Visit – New Patient Inquiry - Pacific Pearl of La Jolla

1. Which of the following are you interested in learning more about?

Comprehensive Wellness Assessment (our signature package with a two-doctor integrative team)

A more focused initial consultation with one of our experts

A Treatment (i.e. PRP Joint Injection, Acupuncture, Microcurrent Neurofeedback, etc.)

2. Please list your top 3 health concerns or the primary reason you are seeking consultation.

3. It is recommended that your first appointment with our Integrative Medicine Physician be done in person with Guarneri Integrative Health at Pacific Pearl La Jolla. Are you willing to travel to La Jolla CA for the first appointment with our physician?

Yes

No

If no, do you have medical records you are able to send to our office for a second opinion consult done remotely?

Yes

No

4. Our Integrative team works collaboratively to manage your care. Are you able to stay for a number of days to visit with the required providers?

Yes

No

5. We do not accept insurances, are you willing and able to pay cash for the services provided?

Yes

No

6. Do you have a Primary Care physician that we can coordinate care with?

Yes

No

7. Are you interested in having one of our physicians become your primary care physician?

Yes

No

Your Name

Date of Birth

Email *

Phone Number

Address

City

State/Province

Zip/Postal

Country

How did you hear about Guarneri Integrative Health?

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Book My Visit – New Patient Inquiry

Thank you for your interest in becoming a patient of Guarneri Integrative Health at Pacific Pearl La Jolla!

This form will help you understand how comprehensive our care is.