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Initial consultation, examination and first treatment only $60!
A $190 value (you save $130)
Paid at the time of service (Not applicable with Auto Accidents or Work Injuries).
Call 510-247-1117 today to schedule an appointment!
Hayward Southland Chiropractic Clinic 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!
Accident New Patient
Non - Accident New Patient
Download the Free AdobeReader®
- We strive to provide complete care for our patients. Learn more about all the services we provide.
- Make An Appointment
- We will do our best to accommodate your busy schedule. Call 510-247-1117 to make an appointment today!
- Online Forms
- Our patient forms are available online so they can be completed in the convenience of your own home or office.