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New Clients

Thank you for your interest! Please complete form below as a first step.

Start Here!

Phone

775-360-3206

Email

hello@doctorpinocchio.com

Social Media

Parent's Full Name

Child's Full Name

Child's Date of Birth

What services are you looking for?

Primary Care Physician

Reason for Referral

Health Insurance

Other Insurance

Private Pay

Day Availability * Required

Monday

Tuesday

Wednesday

Thursday

Friday

Time Availability * Required

Morning (8am-12pm)

Mid-day (12pm-3pm) (Not available on Friday)

Afternoon (3pm-5pm) (Not available on Friday)

Phone Number

Email

3685 Lakeside Drive

Reno, NV 89509

hello@doctorpinocchio.com

Mon - Fri: 8AM-6PM

Tel: 775-360-3206

Fax: 775-490-3001

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