Huntington Beach Sports Chiropractor – Huntington Beach, Orange County, CA

Surgery Free Pain Relief using Active Release Techniques

New Patient Paperwork

Please completely fill out all of the following forms prior to coming into the office for your first appointment.

PLAY THESE INSTRUCTIONS As you are looking at your new patient paperwork…

#1 New Patient Intake Form Page 1

#2 New Patient Intake Form Page 2

#3 Financials & Informed Consent Form

#4 HIPAA Form

#5 3 Levels of Care form

 

If you are coming in for a complementary 15 min consultation ONLY please download this form only:

P3 Complementary Consult Form

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This post was written by admin on January 15, 2009 Comments (0)