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Admitting Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them. Call us or Click here to email us your questions!


Health History

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

Download & Print Form

Historia De la Salud

¿Esto nos dejó nosotros saber se sucede qué, pero quizás más importante, dónde usted desea tomar su salud?

Transferencia directa Y Impresión


Automobile Accident

If your health issue is the result of a car accident, we need some additional information.

Download & Print Form


Worker’s Compensation

If your health issue is the effect of an injury at work, this information will help us help you.

Download & Print Form


Free AdobeReader®

Get adobe readerEach form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.


Health For Life Chiropractic | (510) 357-1351
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