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.


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®

Each 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.

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Dr. Maria Asks some important questions of interest to San Leandro residents - Chiropractor San Leandro Dr. Maria Asks...

What can a chiropractor do for asthma?
Many people think of chiropractic as exclusively dealing with the spine. But I'm interested in the spine because it covers the nervous system. Problems in the spine can produce problems in the organs and tissues controlled by the affected nerves—including those to the lungs and bronchial tubes. Find out how chiropractic care has helped those with asthma.
What controls your pulse, blood pressure and cholesterol?
Conventional health care focuses on the various aspects of your blood. But these are merely effects. Chiropractic focuses on the integrity of your nervous system that controls, regulates and monitors every aspect of your circulatory system, every aspect of your body and every person in San Leandro.