Menu Therapy Options Land Physical Therapy Aquatic Physical Therapy AcupunctureLocationsTestimonialsForms/FormasContact Us Coronavirus Update Make an Appointment Menu Therapy Options Land Physical Therapy Aquatic Physical Therapy AcupunctureLocationsTestimonialsForms/FormasContact Us Coronavirus Update SCSR Medical Lien Acknowledgement - Attorney Patient Name/Nombre del Paciente* First Last Law Office of/Oficina de Abogados deAttorney Name/Nombre del Abogado* First Last Attorney Phone/Teléfono del Abogado*Attorney Email/Email del abogado The undersigned being attorney or record for the above patient does hereby agree to observe all terms of the above and agrees to withhold such sums form any settlement, judgement or verdict as may be necessary to adequately protect SCSR., Signed by Attorney/Firmado por el Abogado MAIN OFFICE 1809 E. Dyer Rd. #313 Santa Ana CA 92705 Fax (949) 975-0070 No Referral Needed Make an Appointment MAIN OFFICE 1809 E. Dyer Rd. #313 Santa Ana CA 92705