1.  Please download the Patient Intake Questionnaire below
2.  Fill it and sign wherever required and press the SUBMIT button
3.  Alternatively, you may E-mail it to frontdesk@proxtherapy.com or bring it with you

Pro-X Orthopedic Spine & Sports Therapy

New Patient Intake Questionnaire

THE CLINIC

28210 Dorothy Drive, Suite 110

Agoura Hills, CA 91301

email : frontdesk@proxtherapy.com

Phone: 818-532-7600

Fax: 818-532-7694

Hours:

Mon - Fri: 9am - 6pm 

​​Saturday: Closed ​

Sunday: Closed

CONTACT