Online Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.


New Patient Welcome Form

This let’s us know what’s happened, but perhaps more important, where do you want to take your health? All new patients should fill out this form and bring with to their first visit.
  Download & Print Page 1
  Download & Print Page 2


Assignment and Instructions for Direct Payment to Doctor

 Download & Print Form


Pain Chart

Please use this form to illustrate where your pain is occuring. This will provide us with some additional information on how best to start your treatment.
 Download & Print Form


 

Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

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Dr. James Asks some important questions of interest to Aliso Viejo residents - Chiropractor Aliso Viejo Dr. James Asks...

Why does chiropractic work?
Chiropractic works because your nervous system, consisting of your brain, spinal cord and all the nerves of your body, controls and regulates every cell, tissue, organ and system of your body. A chiropractor locates and reduces areas of nervous system compromise (usually along the spine) so your capacity to heal is restored. Chiropractic works by helping your body work as it was designed.
What controls every cell, tissue and organ of your body?
DNA? Wrong. Immune system? Wrong? Hormones? Wrong. It's your nervous system, consisting of your brain, spinal cord and all the nerves of your body. When a chiropractor sees a Aliso Viejo patient with say, stomach problems, we want to know why the brain is unable to properly control and regulate the stomach. Which prompts us to examine the nervous system—the focus of chiropractic care.