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Back & Basics Chiropractic and Fitness

1800 S. Robertson Blvd., Ste. 1

Los Angeles, CA 90035

310-203-0500

310-203-0508

Online Forms

Back & Basics Chiropractic and Fitness offers our patient form online so they can be completed 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, print it out and fill in the required information.
  • Fax us your printed and completed form 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 



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Welcome new patients!

Sign-up using the form or call us at 310-203-0500

Location

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Office Hours

Our Regular Schedule

Monday:

7:30 am-7:30 pm

Tuesday:

7:30 am-7:30 pm

Wednesday:

7:30 am-7:30 pm

Thursday:

7:30 am-7:30 pm

Friday:

7:30 am-6:30 pm

Saturday:

By Appointment

Sunday:

Closed