Online Forms

Active Chiropractic & Rehabilitation offers our patient form(s) online so they can be completed 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.

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!

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We look forward to hearing from you

Office Hours

Monday:

9:00 am-6:30 pm

Tuesday:

Admin

Admin

Wednesday:

9:00 am-6:30 pm

Thursday:

By Appt.

By Appt.

Friday:

9:00 am-2:00 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Location

Testimonials

  • "My health has improved considerably thanks to Dr. Anderson"
    Jane Doe / La Jolla, CA
  • "I have benefited tremendously from the chiropractic care I received from Dr. Anderson."
    John Doe, San Diego CA

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