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Online Forms

All Ages Chiropractic 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.


New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Symptoms of Spinal Misalignment Questionnaire

Download & Print Form



Download the Free AdobeReader®

Sign up using the form or call 818-980-5141 to make your appointment.

Office Hours

Our Regular Schedule

All Ages Chiropractic

Monday:

7:30am - 11:00am

Closed

Tuesday:

Closed

2:00pm - 6:00pm

Wednesday:

7:30am - 11:00am

Closed

Thursday:

Closed

2:00pm - 6:00pm

Friday:

7:30am - 11:00am

Closed

Saturday:

By Appointment

Sunday:

Closed

Location

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Testimonial

  • "I have seen several doctors/chiropractors over the years. Dr. Mike has been the only one to ever cure my extreme headaches. He has helped with every injury I've had for last 7+ years. He is honest, personable, genuine and sincere. I highly recommend him!"
    --Christine R. North / Hollywood, CA

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