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Chiropractic & Massage Healing Arts 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.


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!  You answers can be short and simple but do try to fill in the blanks.  If you don't have an answer leave the space blank and we will go over the form with the inital consultation.

Download & Print 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


Download the Free AdobeReader®

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Sign up using the form or call 858-578-5775 to make your appointment.

THIS ---->https://jerrychiro.chiromatrixbase.com/new-patient-center/online-forms.html

Office Hours

Day
Monday9:006:00
Tuesday8:306:00
Wednesday9:006:30
Thursday9:006:00
Friday9:006:00
Saturday8:301:00
Sundayclosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00 8:30 9:00 9:00 9:00 8:30 closed
6:00 6:00 6:30 6:00 6:00 1:00

Newsletter Sign Up