Online Forms

Harrod Chiropractic offers our patient form(s) online so you can complete 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 let's 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®

Sign Up Using the Form Below or Call 562 693-7776 to Make an Appointment.

Office Hours

Our Regular Schedule

Monday:

2:00 pm-8:00 pm

Tuesday:

CLOSED

Wednesday:

2:00 pm-8:00 pm

Thursday:

CLOSED

Friday:

9:00 am-2:00 pm

Saturday:

8:00 am-1:00 pm

Sunday:

CLOSED

Location

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