W o u n d R e s c u e S p e c i a l i s t
275 W. Hospitality Ln. Ste 317 San Bernardino, CA 92408.
Phone: (909) 763-3363
Fax: (909) 769-0109
Mon-Fri (9am - 5pm)

Intake Information

Section1: Patient Information
Section2: Physician Information
Section3: Care Person
Section4: Referral By
Section5: Insurance Information
Section6: Facility Information

Diagnosis

ICD-9

Services