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Call Us Today

(310) 591-7591
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Exclusive Offer, New Patients receive Free Consultation.

Curtis Chiropractic offers our patient forms online so they can be completed it in the convenience of your own home or office.

  • Download and print the three forms and fill in the required information.
  • Fax us your printed and completed forms or bring them with you to your appointment.
  • If you do not already have AdobeReader® installed on your computer, click the following link to download:

Download the Free AdobeReader®


Patient Introduction Card

 Download & Print Form


Health Insurance Portability and Accountability Act (HIPAA) Consent Form

Download & Print Form


Health Analysis Survey

Download & Print Form



 

Our Services

Services
We strive to provide complete care for our patients. Learn more about all the services we provide.
Make An Appointment
We will do our best to accommodate your busy schedule. Schedule an appointment today!
Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.