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Online Forms

Surf City 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


Other Forms - 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®

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Office Hours

Our Regular Schedule

Monday:

8:00 am - 4:30 pm Santa Cruz Community Health

Tuesday:

8:00 am - 12:00 pm

2:00 pm-6:00 pm

Wednesday:

8:00-4:30 SC Women's Health Center

Thursday:

8:00 am - 12:00 pm

Friday:

8:00 am - 12:00 pm

2:00 pm-6:00 pm

Saturday:

8:30 am - 11:30 am

usually 3rd Sat only

Sunday:

Closed

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Reviews By Our Satisfied Patients

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