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Chiropractic Health & Wellness

(818) 841-4100

  • Home
  • New Patient Center
    • Online Forms
    • What to Expect
      • Your First Visit
      • Phase 1: Relief Care
      • Phase 2: Corrective Care
      • Phase 3: Wellness Care
    • Health Resources
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    • Chiropractic
    • Acuscope/Myopulse
      • Commonly Asked Questions
      • After Your First Acuscope Treatment
      • Acuscope/Myopulse Editorial
    • Cranial Facial Release
      • CFR : Symptoms & Conditions
      • E-Channel CFR Video
      • TV Interview
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      • L.A. Health
    • Spinal Decompression Therapy
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    • Spine Simulator 3D
  • Meet the Doctor
  • Testimonials
    • Acuscope/Myopulse
    • Cerebral Palsy
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    • Cranial Facial Release (CFR)
      • Video Testimonials
    • Spinal Decompression
  • Contact Us

Online Forms


New Patient Forms:

Form 1 - Patient Information

Form 2 - Patient Symptom Survey

Form 3 - Informed Consent


New Personal Injury Patient Forms:

Form 1 - Patient Information

Form 2 - Patient Symptom Survey

Form 3 - Informed Consent

Form 4 - Notice of Doctor's Lien

Form 5 - PI Attorney Information

Form 6 - Vehicle Accident Report


New Cranial Facial Release (CFR) Patient Forms:

Form 1 - Patient Information

Form 2 - Patient Symptom Survey

Form 3 - Informed Consent

Form 4 - Health History Intake Form

Form 5 - CFR Pricing Acknowledgment


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  • Online Forms

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