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Intake Forms

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Patient Intake Forms

 

Click icon below to download our newpatient form as a PDF Document.

Once downloaded, print, fillout ,and bring with you to your next officevisit.

Forms:

New_Client_Form.pdf

pdfoswestry_low_back_disability_questionnaire.pdf

pdfneck_pain_disability_index_questionnaire.pdf

 

Excersizes:

docstretchexercises.doc

pdfchest_exercises.pdf

pdfabs_and_low_back_exercises.pdf

pdfarms__wrist_exercises.pdf

pdfshoulder_exercises.pdf

pdfneck_and_upper_back_exercises.pdf

pdfleg__ankle_exercises.pdf

pdfhip_exercises.pdf

pdfworkout_log.pdf

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Office Hours & Rates

Rates :

Chiropractic and Physiothearpy: $150.00 (60 minute Session) or $37.50 per 15 minute module.

Chiropractic Wellness Adjustment $40.00

Personal Training: $100 (60 minute session), $50.00 (30 minute session).

Mon 5am-6pm By Appt
Tue 5am-6pm By Appt
Wed 5am-11am By Appt
Thu 5am-6pm By Appt
Fri 5am-3pm By Appt
Sat By Appt By Appt
Sun By Appt By Appt

 

 

 
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Testimonials
Chiropractic & Personal Training in San Mateo and Burlingame

Grounded, talented, experienced, honest, and generous with his knowledge and wisdom; he immensely alleviated the constant tennis elbow that would not go away for months.... if you are in pain, do yourself a favor and *see him asap*. You won't regret it.

Angelica D.

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