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OPEN 7 DAYS A WEEK SAME DAY APPOINTMENT AVAILABLE

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Redlands Chiropractic offers

    New Patient forms ONLINE

        Complete Forms 

           Conveniently in your home. 

New Patient Health History Form - Required

  • Download the necessary form(s), print it out and fill in the required information.
  • Bring your printed and completed form(s) with you to your appointment

               If you do not have a printer, you can fill out forms by hand or on a computer at our office.

               Please look at the form and bring the necessary information to fill out the forms at the office.

            Download & Print Form


    Please fill out the form completely as the infomation is necessary to know  both your past and current health history. In addition insurance companies require complete personal information in order to bill. The information on these forms are confidential and secure and meet HIPPA guidelines .

    If you have any questions or concerns, please let us know !


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