New Patient Forms

Welcome to Life Chiropractic! We know your time is precious so we’ve made our patient forms available on this page.

• Adult New Patient Forms (To be completed online) For New Patients ages 10 and up.
• Pediatric New Patient Form (Download and print)  For New Patients under 10 years.

If you have any difficulty downloading or printing forms please call (805) 737-5656 for assistance.

Preferred Provider for Blue Shield and Blue Cross

Active-Duty Military Discount