Applied Chriopractic - Patient Information

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Active Release Technique

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Events
FREE Workshop! Every third (3rd) Tuesday of each month. Q&A Session Complimentary Refreshments Contact Us for more info!

Quick Contact
Applied-Chiropractic 1525 Superior Avenue, Ste. 208 Newport Beach, CA 92663 Appointments \| 949.650.5800 Fax \| 949.642.4528 This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Patient Information

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Below, please find a list of available forms for download for our new patients, insurances we accept and our affiliates.

Applied Chiropractic ensures that we want each patient, existing and new alike, gets as much information and resources as possible, which is why we will update this page as we make changes.

It is, in fact, all about YOU... the patient!

Click on a Form Below to Download

Patient Intake Form
Patient History Form

These forms can be filled out prior to your first visit
to our office to save time.

Insurances We Accept

First Health
Monarch Healthcare
Focus Healthcare
Anthem Blue Cross
Blue Shield of California
Health Net
Aetna
Cigna
Medicare/Secure Horizons
Landmark Health

Applied-Chiro Affiliations

California Chiropractic Association
World Health Organization
Kinesio Taping Association