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Online Forms

Back In Harmony Chiropractic and Wellness Center offers our patient form(s) online so they can be completed it in the convenience of your own home or 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.

Chiropractic - New Patient Registration Forms 

(Please print forms in color)

Download & Print Form 


Acupuncture - New Patient Registration Forms

(Please print forms in color)

Download & Print Form 


Personal Injury Registration Forms 

(Please print forms in color)

There are two sets of forms you will need to print. Please download and fill out these forms if you are seeking treatment in our office directly relating to your personal injury. 

Download & Print Forms Part 1

Download & Print Forms Part 2



Download the Free AdobeReader®

Locations

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Office Hours

Our Regular Schedule

Monday:

8:00 am - 12:00 pm

Tuesday:

9:00 am - 1:00 pm

3:00 pm - 6:30 pm

Wednesday:

3:00 pm - 6:30 pm

Thursday:

9:00 am - 1:00 pm

3:00 pm - 6:30 pm

Friday:

Closed

Saturday:

9:00 am - 12:00 pm

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "My son enjoys his treatment. He feels so clear and relaxed after his visit. Dr. Chong has the hands for making her patients feel wonderful and have more energy. Lily is always a pleasure. It has been over a year. My son still feels great. Thank you Dr. Chong for assisting in our well-being.
    We will see you soon!"
    - G. Gonzalez