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Online Forms

Alicia Chiropractic offers our patient form(s) 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(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:

8:30 am - 1:30 pm

2:00 pm - 7:00 pm

Tuesday:

8:30 am - 1:30 pm

2:00 pm - 7:00 pm

Wednesday:

8:30 am - 1:30 pm

2:00 pm - 7:00 pm

Thursday:

8:30 am - 1:30 pm

2:00 pm - 7:00 pm

Friday:

8:30 am - 1:30 pm

2:00 pm - 7:00 pm

Saturday:

By Appointment Only

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "Dr. Raz treated me over the course of a few months for a chronic pain I had in my neck for a few years that other more traditional treatments, such as physical therapy, did not help. Bottom line, pain gone and has not come back."
    Robin Barr
  • "Dr. Raz, thank you for your care these past several years. When I first met you, I was surprised to find out that my shoulder pain and range of motion issue was due to back and neck alignment. You worked patiently, skillfully and with compassion on aligning those areas. I feel so well now, that it's almost hard to remember how uncomfortable I was doing such simple things as styling my hair. Thank you so much for your care! You've really improved the quality of my life!"
    Elaine Hart / Dr. Raz saved me from foot surgery!