Contact BreatheClear Immunicenters

Have a question about our services? Feel free to contact us.
phone: 310-372-0700      fax: 310-372-0774

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New Patients:

Please download and fill out both the “Health Questionnaire” and “New Patient Factsheet” documents . Then, follow one of the three options below:

• E-mail to newpatient@bcimmunicenters.com along with a photo copy of
your insurance card.

• Fax to 310.372.0774 along with a photo copy of your insurance card.

• Bring to your appointment along with a photo copy of your insurance card.

Please click on the form name to download.

Health Questionnaire                        New Patient Factsheet