Here at Valley Chiropractic, we value our patients. We acknowledge that going to a new place for the first time can be nerve racking. We want to do everything we can to eliminate any unnecessary stressors, which is why we include the option of printing and completing your forms at home. We think of our patients as part of our extended family, and we are excited to meet you!

After 32 years I decided to opt “Out of Network” with most insurance companies except for Medicare. This has enabled me to properly care for my patients without the limitations of your insurance company. I offer GREAT discounts and prepaid plans. You will receive a consultation, exam, adjustment and a care plan. You decide how long you want to be under care. 

If you have any questions regarding your first visit, please don’t hesitate to call us at (818) 998-1527.

New Patient Forms - Required

These let us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know! All of the following forms are required for new patients (and for patients we have not seen for 12 or more months).

    1. Intake Form | Informed Consent Form | Financial Policy Agreement - Download & Print
      1. Complete this fillable form, then print and bring to your appointment.
    2. HIPPA Policies - Download & Print (For your information only).
      1. You do not need to print or bring this packet with you.

We encourage all our new patients to watch this short 3 min video prior to their first visit.

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