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Online Forms

Phillips Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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.

Before coming to our office for the first time, our office may request that you print out and complete one or more of the forms below. If you have any questions, please call our office at (530) 666-2526, or email us.


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 & Print Form


Insurance Questionnaire

Download & Print Form


HIPPA Privacy Notice

Download & Print Form



Download the Free AdobeReader®

Location

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Office Hours

Our Regular Schedule

Monday:

7:30 am-6:00 pm

Tuesday:

2:00 pm-6:00 pm

Wednesday:

7:30 am-6:00 pm

Thursday:

10:00 am-6:00 pm

Friday:

7:30 am-6:00 pm

Saturday:

7:30 am-12:00 pm

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

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