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Chiro-Plus offers our patient form(s) online so you can complete 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 Forms

All new patients need to fill out the online patient intake form. Please fill out what is applicable to you and be as thorough as possible. Click on the link and when finished, hit submit and the form will be emailed to us.

Online Patient Intake 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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Exclusive Offer

Sign-up using the form or call us at 909-598-7868 to take advantage of this exclusive offer

THIS ---->https://chiroplusdb.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday8:30 - 12:002:30-6:30
TuesdayClosed2:30-6:30
Wednesday8:30 - 12:002:30-6:30
ThursdayClosed2:30-6:30
Friday8:30 - 12:002:30-6:30
Saturday8:30-10:30Closed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30 - 12:00 Closed 8:30 - 12:00 Closed 8:30 - 12:00 8:30-10:30 Closed
2:30-6:30 2:30-6:30 2:30-6:30 2:30-6:30 2:30-6:30 Closed Closed

 
Launch
 3D Spine Simulator

Testimonial

I had a massage by Paris, it was very relaxing. The room was very comfortable and had a nice herbal smell to it. I'm looking forward to my next one!

sallyf, Diamond Bar
Diamond Bar, CA

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