North Shore Chiropractic

Appointment Request


Appointment Request Form:

If you would like to request an appointment, you can access our online appointment scheduler at:

http://www.doctahoe.com/new_pt.htm

Just copy and paste the above link into your web browser address bar.

You may also make an appointment by telephone at 530-546-8252.

Name:
Doctor's Name (Leave Blank If Unknown):
Date:
Time:
E-mail:
Phone:


Health History Form:

In order to allow us to prepare for your first visit, you can fill out your Health History form on or offline in advance. This will provide us with the necessary information to better serve your health care needs.

(Please note: You may print out each page of the "Health History Securely Online" directly to your printer, fill it out by hand and bring it with you to your first visit if you prefer.)

Submit Your Health History Securely Online

or use the link below to print the

PDF of the Health History Form

Get instructions on downloading Adobe Acrobat Reader to view PDFs