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Online Forms

Active Body Chiro-Care offers our patient form(s) online so they can be completed it in the convenience of your own home or 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 



Download the Free AdobeReader®

 

Locations

Find us on the map

Office Hours

Our Regular Schedule

Santa Monica

Monday:

Closed

Closed

Tuesday:

9:00 am-6:30 pm

Wednesday:

Closed

Closed

Thursday:

10:00 am-6:30 pm

Friday:

Closed

Closed

Saturday:

8:00 am-10:30 pm

Sunday:

Closed

Closed

South Bay

Monday:

9:00 am-6:30 pm

Tuesday:

Closed

Closed

Wednesday:

9:00 am-6:30 pm

Thursday:

Closed

Closed

Friday:

9:00 am-6:00 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

West Hollywood

Monday:

Closed

Closed

Tuesday:

9:00am

6:30pm

Wednesday:

Closed

Closed

Thursday:

9:00am

6:30pm

Friday:

Closed

Closed

Saturday:

9:00am

12:00pm

Sunday:

Closed

Closed

Beverly Hills

Monday:

9:00 am-6:30 pm

Tuesday:

Closed

Closed

Wednesday:

9:00 am-6:30 pm

Thursday:

Closed

Closed

Friday:

9:00 am-6:30 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "After a severe auto accident, I spent years with chronic neck and shoulder pain, which eventually radiated down my right arm. I couldn't believe what just a few chiropractic adjustments could do. I now have normal movement in my neck and shoulder and feel better than I have in years. I wish I had known to come to you earlier! Thank you!"
    John Klaymore - San Diego, CA