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    (805) 526-7629

    Enrollment Form

    Once you have completed the enrollment form, you may download the Doctor's form. The Primary Care Physician will need to fill it out, sign, and fax it back to us.

    Download Here

    Call us today at 1-805-526-7629

    info@advancedadhc.com

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    2315 Kuehner Dr. Ste 121, Simi Valley, CA 93063

    © 2022 Dynamic Life Health Services, Inc.