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California Sports and Family Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.


New Patient Health History Form - Required

This lets us know the history and current state of your health. By filling these forms out ahead of time, we can expedite your experience here in our office.  We look forward to meeting you in person!

Download & Print Form  Health History (required for all patients)

                                              AND

Download & Print Form Quality of Life Questionnaire (required for all Patients)

**For those involved in a car accident, also complete the following:

If you have neck pain: Download & Print Form     

If you have Lower Back Pain: Download & Print Form

 



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