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Strohbach Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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 lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

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Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


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Sign up using the form or call us at 909-829-8722.

THIS ---->https://iespine.com/online-forms.html

Office Hours

DayOpenClosed
Monday9:00am6:30pm
Tuesday9:00am6:30pm
Wednesday9:00am6:30pm
Thursday9:00am6:30pm
Friday9:00am6:00pm
SaturdayClosedClosed
SundayClosedClosed
Day Open Closed
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00am 9:00am 9:00am 9:00am 9:00am Closed Closed
6:30pm 6:30pm 6:30pm 6:30pm 6:00pm Closed Closed

Testimonial

I got injured at work and my employer sent me to their company doctor. The company doctor did not listen to me and sent me home without providing any treatment other than a bottle of motrin. The medication did not help my low back pain. I knew I needed additional treatment by a specialist. A co-worker who had a similar injury told me about the doctors at Inland Empire Spine & Rehabilitation Center. The doctors did a thorough exam and x-rays and found the problem that was causing me all of my low back pain. After several weeks of chiropractic treatment, I was able to return to work and resume my normal activities. I highly suggest that anyone with back injuries call the doctors at Inland Empire Spine & Rehabilitation so they can help you too.

Stan
Fontana, CA

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