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Medical Forms

Patient InTake Form
New Patient In-Take Form

Please fill out the forms below before your appointment. Filling the form before the appointment reduces your wait time to see our Doctors

QR Code for Patient Intake Form
Roll Film
Picture Upload

Please upload pictures or documents that you would like to share with Dr. Bir.

35400 Bob Hope Dr STE 106, Rancho Mirage, CA 92270

760-766-1390 or 760-324-1700

760-766-1391  or  760-324-1799

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