New Patient Intake Form


 

New Patient Intake Form

Chiropractic Health Care Center of Glendora offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • 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 Intake Form.pdf

Consent to Treat.pdf

Cancellation Policy.pdf

Location
Chiropractic Health Care Center Of Glendora
310 W Foothill Boulevard
Glendora, CA 91741
Phone: 626-208-9545
Fax: 626-923-3832
Office Hours

Get in touch

626-208-9545