Chiropractic Care Center 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!

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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Office Hours - Downtown

DayMorningAfternoon
Monday10:00am - 1:00pm3:00pm - 7:00pm
TuesdayClosed3:00pm - 7:00pm
Wednesday9:00am -1:00pmClosed
ThursdayClosed3:00pm - 7:00pm
Friday9:00am - 1:00pmClosed
Saturday9:00am - 1:00pmClosed
SundayClosedClosed

Office Hours - Van Nuys

Mon
  Closed
Tues
  Closed
Wed
  3:00pm - 7:00pm
Thurs
  Closed
Fri
  Closed
Sat
  3:00pm - 7:00pm
Sun
  Closed

Office Hours - Rialto

Mon
  Closed
Tues
  1:30pm - 6:30pm
Wed
  Closed
Thurs
  1:30pm - 6:30pm
Fri
  Closed
Sat
  8:00am - 12:00pm
Sun
  Closed

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Contact

Chiropractic Care Center
112 W. 9th Street, Suite 1126
Downtown Los Angeles, CA 90015
Get Directions
  • Phone: 213-627-0287
  • Fax: 213-627-8428
  • Email Us
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