New Patient Center

new patientIf you have an appointment scheduled with us, please download our New Patient Forms. Read them over thoroughly, complete the questions and bring it with you to your appointment! We look forward to seeing you soon.

New Patient Forms
Insurance FAQs
Why You Should Use Med-Pay in Auto-Accident Cases
Massage Therapists Schedule
Health & Wellness Blog

New Patient Forms

cranial facial release form new patient If you are an ADULT (over 18 years of age) patient paying with cash or using standard health insurance or Medicare, use this form.
New Patient – Major Medical
cranial facial release form new patient If you are a MINOR (under 18 years of age) patient paying with cash or using standard health insurance or Medicare, use this form.
New Patient – Minor Major Medical
cranial facial release form new patient If you are an ADULT OR MINOR patient seeking treatment for an auto or other personal injury, use this form.
New Patient – Personal Injury
cranial facial release form new patient If you are an ADULT OR MINOR patient seeking treatment for a work-related injury, use this form.
New Patient – Work Comp
cranial facial release form new patient If you are an ADULT OR MINOR patient interested in Cranial Facial Release Technique, use this form.
New Patient – Cranials
cranial facial release form new patient If you are an ADULT OR MINOR patient interested in Orthotics or Correct Toes, use this form.
New Patient – Orthotics

 

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Long Beach Spine & Rehabilitation Chiropractic Health Center
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562.938.8770
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As the new school year approaches, our Back Pack Drive for the month of August is in full swing!  For new patients, simply bring in: A new backpack with $30 worth of school supplies (receipt required) OR A new backpack and a gift card for $30 to purchase school supplies (receipt required) You will receive your initial comprehensive exam and x-rays at no charge, electrodes and therapy for free! T
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