[et_pb_section fb_built=”1″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.27.0″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][et_pb_column type=”1_2″ _builder_version=”4.27.0″ _module_preset=”default” vertical_offset=”247px” horizontal_offset=”63px” hover_enabled=”0″ global_colors_info=”{}” vertical_offset_last_edited=”on|phone” vertical_offset_phone=”0px” horizontal_offset_last_edited=”on|phone” horizontal_offset_phone=”0px” sticky_enabled=”0″ vertical_offset_tablet=”247px” horizontal_offset_tablet=”63px”][et_pb_heading title=”Forms” module_class=”theseason” _builder_version=”4.27.0″ _module_preset=”default” title_font=”||||||||” title_text_color=”#01597e” title_font_size=”50px” custom_margin=”||-3px|||” global_colors_info=”{}”][\/et_pb_heading][et_pb_text _builder_version=”4.27.0″ _module_preset=”default” text_text_color=”#01597e” text_font_size=”19px” global_colors_info=”{}”]<\/p>\n
Welcome to Seaside Medical Practice! For your<\/span> [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https:\/\/www.seasidemedicalpractice.com\/dev\/wp-content\/uploads\/2024\/08\/image-001-6.jpg” title_text=”image-001-6″ align=”center” _builder_version=”4.27.0″ _module_preset=”default” width=”74%” custom_padding=”5px|||||” border_radii=”on|20px|20px|20px|20px” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.27.0″ _module_preset=”default” min_height=”124px” custom_padding=”||0px|||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_heading title=”Form Downloads” module_class=”theseason” _builder_version=”4.27.0″ _module_preset=”default” title_font=”||||||||” title_text_align=”center” title_text_color=”#01597e” title_font_size=”50px” custom_margin=”||-3px|||” locked=”off” global_colors_info=”{}”][\/et_pb_heading][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.27.0″ _module_preset=”default” width=”24%” width_tablet=”24%” width_phone=”24%” width_last_edited=”on|desktop” module_alignment=”center” custom_padding=”0px|||||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.0″ _module_preset=”default” background_color=”#5ec2d4″ border_radii=”on|20px|20px|20px|20px” global_colors_info=”{}”][et_pb_image src=”https:\/\/www.seasidemedicalpractice.com\/dev\/wp-content\/uploads\/2024\/08\/Capture-removebg-preview-2-1.png” title_text=”Capture-removebg-preview-2-1″ url=”@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9hdHRhY2htZW50Iiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjQwNSJ9fQ==@” align=”center” _builder_version=”4.27.0″ _dynamic_attributes=”url” _module_preset=”default” background_enable_color=”off” width=”44%” width_tablet=”44%” width_phone=”44%” width_last_edited=”on|desktop” height=”100%” custom_margin=”||||false|false” custom_padding=”30px|30px|30px|30px|false|false” border_radii=”on|20px|20px|20px|20px” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.27.0″ _module_preset=”default” module_alignment=”center” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.0″ _module_preset=”default” border_radii=”on|20px|20px|20px|20px” global_colors_info=”{}”][et_pb_heading title=”New Patient Registration” _builder_version=”4.27.0″ _module_preset=”default” title_font=”|600|||||||” title_text_align=”center” title_text_color=”#01597e” custom_margin=”||21px|||” global_colors_info=”{}”][\/et_pb_heading][et_pb_text _builder_version=”4.27.0″ _module_preset=”default” text_text_color=”#01597e” text_font_size=”19px” text_orientation=”center” global_colors_info=”{}”]<\/p>\n If you prefer to fill out forms in our clinic, please plan to arrive 15 minutes ahead<\/span> [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.0″ _module_preset=”default” background_color=”#42b2e5″ width=”100%” custom_margin=”-3px|||||” custom_padding=”||0px|||” global_module=”85″ saved_tabs=”all” global_colors_info=”{}”][et_pb_row column_structure=”1_3,1_3,1_3″ module_class=”foter_menu” _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”1_3″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_heading title=”Patient Quicklinks” _builder_version=”4.27.0″ _module_preset=”default” title_font=”|700|||||||” title_text_align=”left” title_text_color=”#FFFFFF” custom_margin=”||7px|||” global_colors_info=”{}”][\/et_pb_heading][et_pb_text _builder_version=”4.27.0″ _module_preset=”default” text_font=”|600|||||||” text_text_color=”#FFFFFF” text_font_size=”18px” custom_css_free_form=”.foter_menu a {|| color: #fff;||}” global_colors_info=”{}”]<\/p>\n For New Patients<\/a> [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_heading title=”Explore Seaside” _builder_version=”4.27.0″ _module_preset=”default” title_font=”|700|||||||” title_text_align=”left” title_text_color=”#FFFFFF” custom_margin=”||7px|||” locked=”off” global_colors_info=”{}”][\/et_pb_heading][et_pb_text _builder_version=”4.27.0″ _module_preset=”default” text_font=”|600|||||||” text_text_color=”#FFFFFF” text_font_size=”18px” global_colors_info=”{}”]<\/p>\n Internal Medicine<\/a> [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_heading title=”Location” _builder_version=”4.27.0″ _module_preset=”default” title_font=”|700|||||||” title_text_align=”left” title_text_color=”#FFFFFF” custom_margin=”||7px|||” locked=”off” global_colors_info=”{}”][\/et_pb_heading][et_pb_text _builder_version=”4.27.0″ _module_preset=”default” text_font=”|600|||||||” text_text_color=”#FFFFFF” text_font_size=”18px” global_colors_info=”{}”]2319 Wilshire Blvd., Welcome to Seaside Medical Practice! For yourconvenience, we have provided the following formsfor you to fill out prior to your first office visit.If you prefer to fill out forms in our clinic, please plan to arrive 15 minutes aheadof your scheduled visit to avoid missing any time with your provider.For New PatientsFor Current PatientsFormsInsurance InformationFeesOur […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":379,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-401","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.seasidemedicalpractice.com\/dev\/wp-json\/wp\/v2\/pages\/401","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.seasidemedicalpractice.com\/dev\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.seasidemedicalpractice.com\/dev\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.seasidemedicalpractice.com\/dev\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.seasidemedicalpractice.com\/dev\/wp-json\/wp\/v2\/comments?post=401"}],"version-history":[{"count":17,"href":"https:\/\/www.seasidemedicalpractice.com\/dev\/wp-json\/wp\/v2\/pages\/401\/revisions"}],"predecessor-version":[{"id":25860,"href":"https:\/\/www.seasidemedicalpractice.com\/dev\/wp-json\/wp\/v2\/pages\/401\/revisions\/25860"}],"up":[{"embeddable":true,"href":"https:\/\/www.seasidemedicalpractice.com\/dev\/wp-json\/wp\/v2\/pages\/379"}],"wp:attachment":[{"href":"https:\/\/www.seasidemedicalpractice.com\/dev\/wp-json\/wp\/v2\/media?parent=401"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
convenience, we have provided the following forms<\/span>
for you to fill out prior to your first office visit.<\/span><\/p>\n
of your scheduled visit to avoid missing any time with your provider.<\/span><\/p>\n
For Current Patients<\/a>
Forms<\/a>
Insurance Information<\/a>
Fees<\/a>
Our Mission<\/a><\/p>\n
Nephrology<\/a>
Preventative<\/a>
Hormone Therapy<\/a>
Weight & Nutrition Therapy<\/a>
Aesthetic Services<\/a>
PRP Microneedling<\/a><\/p>\n
\nSanta Monica, CA 90403
\nP: 310.393.5000
\nF: 310.393.5007[\/et_pb_text][et_pb_heading title=”Follow Us :” _builder_version=”4.27.0″ _module_preset=”default” title_text_color=”#FFFFFF” width=”41%” module_alignment=”left” custom_margin=”||-1px|||” custom_padding=”|0px||||” global_colors_info=”{}”][\/et_pb_heading][et_pb_social_media_follow icon_color=”#000000″ _builder_version=”4.27.0″ _module_preset=”default” custom_button=”on” text_orientation=”center” width=”42%” global_colors_info=”{}”][et_pb_social_media_follow_network social_network=”facebook” url=”https:\/\/www.facebook.com\/seasidemedicalpractice” _builder_version=”4.27.0″ _module_preset=”default” background_color=”#FFFFFF” background_enable_color=”on” global_colors_info=”{}” follow_button=”off” url_new_window=”on”]facebook[\/et_pb_social_media_follow_network][et_pb_social_media_follow_network social_network=”instagram” url=”http:\/\/instagram.com\/seasidemedical” _builder_version=”4.27.0″ _module_preset=”default” background_color=”#FFFFFF” background_enable_color=”on” global_colors_info=”{}” follow_button=”off” url_new_window=”on”]instagram[\/et_pb_social_media_follow_network][\/et_pb_social_media_follow][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"