Apply for Immediate Care

Fill out the quick form below and we'll call you back within 30 minutes to verify your insurance and schedule your appointment — usually the same day.

First Name *

Last Name *

Phone Number *

We'll call you back at this number within 30 minutes.

When did your accident happen? *

What type of accident?

Where are you feeling pain? *

Neck Lower back Upper back Shoulder Headaches Hip / pelvis Ribs / chest Numbness / tingling

Do you have auto insurance?

Either way — we'll work out coverage with you on the call.

Anything else we should know?

Your information is private and secure. We'll only use it to schedule your appointment and verify insurance coverage.

✓ Insurance & Liens Accepted

✓ Same-Day Appointments

✓ Cost in Writing First

✓

We Got Your Application

Our team will call you within 30 minutes to verify your insurance coverage and schedule your appointment.

What happens next:

We call you to verify insurance (takes ~10 min)
We schedule your same-day or next-day appointment
You come in for a full injury evaluation
We start treatment and handle all paperwork

📞 Can't Wait? Call (510) 606-0007

Prefer to talk to someone right now?

📞 (510) 606-0007