New Patient Paperwork

Arc of Life Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out, and fill in the required information.
  • Bring the necessary form(s) to your appointment.

New Patient Health History Form - Required Forms are the proprietary property of ARC OF LIFE CHIROPRACTIC

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!

  • Adults - Intake Form

    Click to Download & Print Form

  • Minors over 11 - Intake Form

    Click to Download & Print Form

  • 3 - 10 Years Pediatric Intake Form

    Click to Download & Print Form

  • 0 - 3 Years Pediatric Intake Form

    Click to Download & Print Form 

Monday
8:00am - 6:15pm


Tuesday
8:00am - 6:15pm


Wednesday
Closed


Thursday
8:00am - 6:15pm


Friday
8:00am - 11:45am


Saturday
Closed

Arc of Life Chiropractic

901 North Pacific Coast Highway #101
Redondo Beach, CA 90277

(310) 379-3230