SUBMIT APPOINTMENT REQUEST

We have same day appointments 7 days a week.

We are an urgent care clinic so please complete and submit this form 24 hours or less before your desired appointment day and we will text or call you back within 15 minutes or less to confirm your appointment time. Due to COVID-19, we are only scheduling one family at a time so we are are requiring a $25 per person appointment retainer deposit. This will be credited back towards the cost of your treatment.

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Parent/Guardian Information

First Name

Last Name

Cell Phone

Name of family members that need to be treated for sure:

First & Last Name

Relationship

Age

First & Last Name

Relationship

Age

First & Last Name

Relationship

Age

Name of family members that need to be screened:

First & Last Name

Relationship

Age

First & Last Name

Relationship

Age

First & Last Name

Relationship

Age

Preferred day for appointment?

Clinic Text - Not Visible To Public

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SUBMIT APPOINTMENT REQUEST

TORRANCE LICE REMOVAL

TORRANCE LICE REMOVAL-THE SOUTHERN CA LICE EXPERTS