New Patient Forms

Huntington Beach (714) 898-9631 • Long Beach (562) 590-7349 • Signal Hill (562) 494-5300

Fitness Chiropractic & Massage Therapy 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.

Insurance or cash patients must fill out the followwing forms:

Personal Injury Patients Must Fill Out All Above Plus:

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