California Institutes of Preventive Medicine

California Institutes of Preventive Medicine

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LEARN ABOUT

SERVICES
ASK THE PHYSICIAN
FRIENDS OF CAIPM
MEMBERS ONLY
- Description of Services
- Join CAIPM
- Attend an Info Session
- Make an Appointment
- Preview Results
- Group Description
- Join a Group
ABOUT CAIPM
CONTACT US

MEMBERS ONLY

Join a Group

Name:
Social Security Number:
Date of Birth:
Phone Number:
Email address:
Type of Group: *
If choosing a group other than a weight loss group, please indicate if you are on a weight loss product:
	on product not on product
Preferred Day of Week:
Preferred Time of Day:

* If choosing a Creative Art Therapy group, a resource counselor will call you within 24 hours to set up a specific group.

A confirmation will be emailed to you within 24 hours.