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714.572.3834

Total Body Health Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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.

Patient Information Form

Patient Health Information Consent Form

Personal Health History Forms

Informed Consent To Chiropractic Treatment

Cash Payment Financial Agreement

Group Insurance Financial Agreement

Informacion de el Paciente En Español

Vehicle Accident Information

Personal Injury History Form

Personal Injury Financial Agreement

Medicare Patients Financial Agreement

Notice of Doctors Lien


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