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...

Will chiropractic adjustments make my spine too loose?
No. Only the spinal joints that are fixated and "locked up" receive attention. The occasional spinal joint that moves too much is passed over so weakened muscles and ligaments can strengthen and heal.
Would you rather feel good or be healthy?
Ask most people in San Leandro and they want to feel good. Careful! Would you take medicine that makes you feel good, rather than vomit to expel improperly prepared food? Every chiropractic practice member knows that you can't measure your health by how you feel. True health is when your body works as it should.