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714-961-1200

Download the Free AdobeReader®

Community Chiropractic Center offers our patient forms online so they can be completed 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, fill in the required information and print it out.  
  • E-mail or fax us your 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!

Download New Patient Health History Form


Returning Patient Health Update Form

If you are already a patient of Community Chiropractic Center, but you have not been treated in our office in over a year, please fill out the following form in order for us to understand the current state of your health.

Download Patient Health Update Form


 Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


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