Thank you for choosing Paradigm Malibu. We are committed to doing all that we can to ease the admissions process for you and your family. This includes the use of the electronic admissions forms below.
Please note that there is no need to print them out. Simply fill out each form on line and when you have completed all, hit the submit button. It is as simple as that. If you prefer filling out a paper version, that too is an option, just email firstname.lastname@example.org to request the paperwork be emailed.
We should point out that many of these forms are required by external regulating agencies and may not seem applicable to your specific situation. We request that you please complete each form however to assist us in our efforts to remain in compliance with all governing regulations.
If you have any questions related to any of these forms, the admissions process, or any other matter, please give us a call. We look forward to being of service.
Please complete the below form to request medical records to be sent to a provider.