Request an Appointment

Our team led by Dr. Philip Bretsky welcomes you to Santa Monica Primary Care. We have recently expanded our office, and are currently accepting new patients.

If you’d like to know more about our office or schedule an appointment, please give us a call at 310-828-4411. You can also fill out the form below to request an appointment electronically. We will call or email you to confirm this appointment. Please note that we must be able to reach you to confirm this appointment with you. Thank you!

First Name
Last Name
Date of Birth
Phone Number
Email
Please tell us why you would like to make an appointment.
When would you like to come in?
Preferred Day
Time of Day
Second Choice Day
Time of Day
 Please send me your newsletter including other announcements.
Are you a current patient?
 Yes No
Please note that a phone number, email and postal address will be required if you are not a current patient.
Address 1
Address 2
City
State
Zip
 
Insurance Carrier and Plan Type
Group ID No.
How did you find us?
 
Additional Referral Details (please be specific)
We do not send frequent emails and your email will never be shared with other organizations.