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Online Forms

Advanced Chiropractic offers our patient form(s) online so they can be completed 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. 

      Our Fax #: (408)-356-9149



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

Pediatric Form - Up To 18 Years Old

Download & Print




Download the Free AdobeReader®

Welcome!

Office Hours

Our Regular Schedule

Monday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Tuesday:

Closed

Closed

Wednesday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Thursday:

Closed

3:00 pm - 6:00 pm

Friday:

8:00 am - 12:00 pm

Closed

Saturday:

9:00 am

11:00 pm

Sunday:

Closed

Closed

Location

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