Dropping Off Forms

Should you require an important document to be completed by your provider, please drop off the form with the front desk or your provider’s Medical Assistant. Allow 7-10 business days for us to complete your form. Someone from our office will contact you once your form is ready to pick up. Prior to dropping off the form, please consider the following:

Instructions:

  • Complete your portion of the document.
  • Sign a release form which authorizes your provider to complete the provider’s portion of the document.

There may be a fee associated with your request.
Allow 7-10 business days for us to complete your form.

Forms to drop off:

  • Disability requests
  • Jury Duty excuse
  • GAIN
  • SSI
  • Physical froms (excluding DMV)
  • Rx Prescription Assistance Program forms

 

Our Office Locations

We have four offices on the east side of Los Angeles.

Family Health Center

1701 Cesar Chavez Ave., Suite 230
Los Angeles, CA 90033

  • (323) 226-1100
  • (323) 226-1101 fax
  • Monday – Friday
    8:00 am – 5:30 pm
    Saturday
    8:30 am – 12:00 noon

Boyle Heights II, Suite 402

1701 Cesar Chavez Ave., Suite 402
Los Angeles, CA 90033

  • (323) 317-9200
  • (323) 317-9206 fax
  • Monday – Friday
    8:30 am – 5:30 pm
    Saturday Closed

Highland Park

5823 York Blvd., Suite 1
Los Angeles, CA 90042

  • (323) 255-1575
  • (323) 255-8139 fax
  • Monday – Friday
    8:30 am – 5:00 pm
    Saturday
    8:30 am – 12:00 noon

Montebello

815 Washington Blvd.
Montebello, CA 90640

  • (323) 728-3955
  • (323) 728-6905 fax
  • Monday – Friday
    8:30 am – 6:00 pm
    Saturday
    8:30 am – 12:00 noon