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Practice Name

Advanced Chiropractic Pain & Wellness Center

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Primary Location
31285 Temecula Pkwy, Suite 260
Temecula, CA 92592
Phone: 951-303-8486
Fax: 951-303-3357

Office Hours

DayMorningAfternoon
Monday9 - 13 - 6
Tuesday9 - 13 - 6
WednesdayClosedClosed
Thursday9 - 13 - 6
Friday9 - 12Closed
SaturdayBy Appt.Closed
SundayClosedClosed
Main Content

Advanced Chiropractic Pain & Wellness Center 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!

New_Patient_Intake_Form.pdf

HIPPA_-_NOTICE_OF_PRIVACY_PRACTICES_(short).pdf

Direct_Payment_From_Ins._Form.pdf

Office_policy_signature_page.pdf

Informed Consent Form.pdf


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



Download the Free AdobeReader®

Office Hours

DayMorningAfternoon
Monday9 - 13 - 6
Tuesday9 - 13 - 6
WednesdayClosedClosed
Thursday9 - 13 - 6
Friday9 - 12Closed
SaturdayBy Appt.Closed
SundayClosedClosed

Meet the Doctor

Meet the doctor at Advanced Chiropractic Pain & Wellness Center.

Meet the Doctor



Make Appointment

We will do our best to accommodate your busy schedule. Request an appointment today!

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Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Contact

Advanced Chiropractic Pain & Wellness Center
31285 Temecula Pkwy, Suite 260
Temecula, CA 92592
Get Directions
 
  • Phone: 951-303-8486
  • Fax: 951-303-3357
  • Email Us
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Office Hours

DayMorningAfternoon
Monday9 - 13 - 6
Tuesday9 - 13 - 6
WednesdayClosedClosed
Thursday9 - 13 - 6
Friday9 - 12Closed
SaturdayBy Appt.Closed
SundayClosedClosed
Newsletter

Newsletter Sign Up










Community Content
Member Wellness