New Patient Forms


Please fill out all New Patient forms in their entirety and bring them to your first appointment.

If you have any recent labs (within 12 months), please bring them to your appointment.

If you are married or in a relationship, please bring your spouse or significant other with you to your appointment. There will be much information covered concerning your unique condition as well as the fundamentals of the program.

Please arrive on time.

We require a 24-hour notice to change or cancel your appointment. Note: If these steps are not followed it may compromise the full value of your consultation and therefore we will kindly reschedule your appointment.

Peak Physical Medicine
4006 S Demaree St., Suite A
Visalia, CA 93277
Phone: 559-295-2410
Office Hours

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