CPR321 CLASSES
  • Address

    28990 Pacific Coast Highway #A 205,
    Malibu, CA 90265 US

  • 28990 Pacific Coast Highway #A 205,
    Malibu, CA 90265 US

    310-589-1005
CPR321 CLASSES

New Patient Form

Coming Soon!
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Nature of Injury
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Have you ever had same condition?
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Have you ever been under chiropractic care?
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Do you have health insurance?
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Have you been treated for any conditions in the last year?
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Is there a chance that you are pregnant?
Have you had X-rays taken?
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Broken bones?
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Been hospitalized?
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Been in auto accident?
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Had Sprains/Strains?
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Been struck unconscious?
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Had surgery?
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Do you experience pain every day?
Do your symptoms interfere with daily life?
Does pain wake you up at night?
Are your symptoms worse during certain times of the day?
Do changes in weather affect your symptoms?
Do you wear orthotics?
Do you take vitamin supplements?
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Alcohol
Coffee
Tobacco
Drugs
Exercise
Sleep
Appetite
Soft Drinks
Water
Salty Foods
Sugary Foods
Artificial Sweeteners
Have you ever suffered from:

Please do not submit any Protected Health Information (PHI).

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    Maps & Directions

    Office Location

    --mi
    Address

    28990 Pacific Coast Highway #A 205
    Malibu, CA 90265, US

    Contact Information 310-589-1005

    Contact Us

    Fill out the fields below and we will contact you as soon as possible

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    Please do not submit any Protected Health Information (PHI).

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      My Availability

      Monday  

      8:00 am - 6:00 pm

      Tuesday  

      8:00 am - 6:00 pm

      Wednesday  

      8:00 am - 6:00 pm

      Thursday  

      8:00 am - 6:00 pm

      Friday  

      8:00 am - 6:00 pm

      Saturday  

      9:00 am - 12:00 pm

      Sunday  

      Closed

      28990 Pacific Coast Highway #A 205
      Malibu, CA 90265

      310-589-1005