ESA Telehealth Evaluations


 

For a telehealth appointment, please complete the following intake forms and email your forms to
 
Please also include a photo of your government-issued ID in your email. In the subject line, please put "ESA Telehealth Evaluation".
 
 
ESA General Consent
 
ESA Patient History
 
Location
New Leaf Wellness Center
13347 W Washington Blvd.
Culver City , CA 90066
Phone: 424-201-0611
Office Hours

Get in touch

424-201-0611