Would you like to be a patient at Rainbow Sequoia?

Let’s heal together!

If you’re interested in becoming a patient at Rainbow Sequoia Healing Center, please fill out your name, date of birth, email, phone, and a brief message of your complaint(s) and Dr. Brittan Slaton will reach out ASAP.

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Are you a Medicare patient?

Some forms of Medicare cannot be seen at Rainbow Sequoia at this time

Yes

No

Email

Phone

(###)

###

####

Message

Would you like to be a patient at Rainbow Sequoia?

Let’s heal together!

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