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760-839-0100
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Exclusive Offer

Exclusive Offer, New Patients receive Free Consultation.

To any new patients with a scheduled appointment:
Please download and fill out an English/Spanish version of  three Initial Visit Forms before your first visit. In addition, if you have been involved in an auto accident or other personal injury, download and fill out the Activities of Daily Living Form and any forms that pertain to your symptoms. If you have any questions regarding these forms, please feel free to contact our office at any time. Thank you!.

  • 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 Intake Form

History of Chief Complaint

New Patient Intake 1 of 2 - Spanish

New Patient Intake 2 of 2 - Spanish

History of Chief Complaint - Spanish



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Our patient forms are available online so they can be completed in the convenience of your own home or office.