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Inclusive Pelvic Wellness

Patient Paperwork in Palm Desert

There is nothing here for you to print. Once your visit is booked, your forms arrive as a secure link you fill in from your phone or a laptop, at whatever hour suits you. If you would rather not do it beforehand, arrive a few minutes early and everything is waiting on a tablet. Either way the paperwork is finished before your hour starts, which is the point: the hour belongs to your history, your assessment, and treatment, not to a clipboard.

01What You Fill Out

Three forms, all sent to you, none to print.

New Patient Intake

Your history, your current symptoms, what you want to get back to, and the consent forms that have to be on file. A few minutes, and the detail you give here shapes your evaluation.

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Insurance & Payment

Your plan details, so your benefits can be verified before the first visit. If you are paying directly, this is where the self-pay rates are set out in writing.

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Notice of Privacy Practices

How your health information is stored, used, and protected under HIPAA, and what rights you hold over it. Yours to read, and to ask about.

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Good to Know

Nothing to print and nothing to chase. Book your visit and your forms come to you by email as a secure link, or arrive a few minutes early and fill them in on a tablet. If a question on any form is unclear, leave it and ask Dr. Hare about it in the room.

Request an Appointment

Ready when you are.

HoursMon - Fri: 8am - 6pm | Sat - Sun: Closed
Walk-insCall ahead
Book your evaluation. A full hour, one on one.
Step 1 of 5
First things first. What's your name?
We'll need a name to book you in.
Best number to reach you?
A phone number lets us confirm same-day.
And your email?
We'll send your confirmation here.
What questions do you have about your pain or injury?
A few words is all we need.
Look right? Send it.
✓
Request received.

We'll call within business hours to lock in your time.

Book Now · No Referral Needed