Online Forms

Pacific Chiropractic Clinic 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


Intake Forms

Download & Print Form Page 2



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Exclusive Offer

New patients receive 15% OFF first visit.

Office Hours

Our Regular Schedule

Monday:

9:00 am-12:00 pm

2:00 pm-5:30 pm

Tuesday:

9:00 am-12:00 pm

2:00 pm-5:30 pm

Wednesday:

9:00 am-12:00 pm

2:00 pm-5:30 pm

Thursday:

9:00 am-12:00 pm

2:00 pm-5:30 pm

Friday:

9:00 am-12:00 pm

2:00 pm-4:30 pm

Saturday:

By Appointment

Closed

Sunday:

Closed

Location

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Testimonials

Reviews By Our Satisfied Patients

  • "I was very impressed with the chiropractic care I received from Dr. Anderson. I had received chiropractic in the past for my neck pain, but not to this level of care. After only a few sessions, my symptoms began to disappear, especially my neck pain, and I know I would not have been able to perform to my everyday work functions without the treatment I received."
    Neck Pain
  • "I have benefitted tremendously from the chiropractic care I received from Dr. Anderson. Not only has the adjustments helped alleviate my stiffness and aches, but it has helped me have more energy and just feel more balanced over all. A few months ago, I was able to resume a favorite hobby of mine: golf. Due to my previous pain, I never thought that’d be possible."
    Back Pain
  • "Dr. Anderson has allowed me to be headache free for quite some time now. I used to have daily nagging headaches that often would turn into a migraine leaving me unable to function. For the longest time, I thought I could just keep taking medication to have the pain subside."
    Headaches
  • "As a court reporter, using my hands to type on a daily basis is a requirement. The work is speedy and can often last for hours at a time. Several months ago, every movement I made became excruciatingly painful. I started seeing Dr. Anderson and he put together a program for me that helped right away. He stressed the importance of my posture and proper hand and arm placement."
    Carpal Tunnel
  • "It's been 7 months since I got wiped out by a monster wave. I sought treatment at the hospital and they took x-rays and said everything seemed normal, that I would just have some pain for a few days. A few days actually turned into several weeks, so at the suggestion of my girlfriend, I went to see Dr. Anderson."
    Sports Injury

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