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Online Forms

Momentum 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!

Download & Print Form




Download the Free AdobeReader®

Locations

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Office Hours

Our Regular Schedule

Monday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Tuesday:

Closed

2:00 pm-6:00 pm

Wednesday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Thursday:

Closed

2:00 pm-6:00 pm

Friday:

8:00 am-12:00 pm

Closed

Saturday:

By Appt.

Closed

Sunday:

Closed

Closed

Testimonial

Review By Our Satisfied Patient

  • "Thank you to both Dr Peters for always being there for me and helping me with my aching body. Acupuncture has also played a great part in how I feel too. After fracturing and severing a nerve in my face acupuncture has helped with the tingling sensation I get in my face and has also helped my stomach issues."
    Cyndee K.C. - Huntington Beach, CA