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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9:00am - 12:00pm
2:00pm - 6:00pm
562.938.8770
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For the month of April we are offering free foot scans! The foot scan entails a digital assessment of asymmetries in your feet, a percentage of imbalance for each foot and will generate a report of recommended custom orthotics to fit your needs. We also have over the counter options that Dr. Callotta can review with you during your scan results. A no charge consultation is required for foot scan
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