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Call Us Today

858-486-1222
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We are now accepting new patients at Community Chiropractic Center, contact us today!

858-486-1222

Community Chiropractic Center offers our New Patient form(s) online so they can be completed in the convenience of your own home or office.

  • forms_1_1.pngIf 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.
  • Bring the completed forms in on your first visit.  

    New Patient Health History Form
    (Required for ALL New Patients)
     

    Download & Print Form
    This lets us know your health history and current state of health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!


    Personal Injury Forms
    (Required for Personal Injury and Auto Accident Patients ONLY)


    Download & Print Form

    These forms let us know the nature of the accident, your symptoms and your health and car insurance information. Please note: If your are a Personal Injury/Auto Accident Patient you must also download and fill out the New Patient Health History Form above. 


    Download the Free AdobeReader®


Services
We strive to provide complete care for our patients. Learn more about all the services we provide.
Make An Appointment
We will do our best to accommodate your busy schedule. Schedule an appointment today!
Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.