Our Clinic offers patient form(s) online so you can complete 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 let’s 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 and 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

 Medical Doctors, Chiropractors and Massage therapists and Acupuncture healing everything from whiplash, car accidents, personal and sports injury, scoliosis, migraines and headaches to everyday healthcare needs.

Medical - Chiropractic - Massage - Acupuncture

Your Encinitas & Carlsbad Medical Care and Chiropractor providing Chiropractic Massage Acupuncture and Medical Care in Encinitas, La Costa, Carlsbad, Leucadia,
Solana Beach, Rancho Santa Fe, Vista, Cardiff, Del Mar,
San Marcos, Escondido, Vista, and Oceanside

Call (760) 942-7441 for an Appointment