9265 Activity Rd. Suite #111

San Diego, CA 92126

858-578-5775

SIGN UP USING THE FORM OR CALL 858-578-5775 TO MAKE YOUR APPOINTMENT..

Online Forms

Chiropractic & Massage Healing Arts 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. What questions, concerns, goals, regarding wellness can we help you with? Let us know!  You answers can be short and simple but do try to fill in the blanks.  If you don't have an answer leave the space blank and we will go over the form with the inital consultation.

Download & Print Form


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