• 909 North Pacific Coast Highway,
    El Segundo, CA 90245

Online Forms

Anderson Chiropractic Care 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!

Download & Print Form


Download the Free Adobe Reader®

CONTACT US

We hope to see you soon

  • Anderson Chiropractic Care

    909 North Pacific Coast Highway,
    El Segundo, CA 90245 US

    Monday:

    9:00 am - 5:00 pm

    Tuesday:

    9:00 am - 5:00 pm

    Wednesday:

    9:00 am - 5:00 pm

    Thursday:

    9:00 am - 5:00 pm

    Friday:

    9:00 am - 5:00 pm

    Saturday:

    Closed

    Sunday:

    Closed

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Please do not submit any Protected Health Information (PHI).