New Patient Paperwork

Palm Desert Chiropractic offers our patient form online so it can be completed in the convenience of your own home or office.

  • The form is a PDF file. You will need AdobeReader® to view it.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download it.
  • Download the necessary form, print it out, and fill in the required information.
  • Bring the necessary form to your appointment.
  • New Patient Intake Form

    Click to Download

Monday
9:00am - 12:00pm
3:00pm - 6:00pm


Tuesday
9:00am - 12:00pm
3:00pm - 6:00pm


Wednesday
9:00am - 12:00pm
3:00pm - 6:00pm


Thursday
9:00am - 12:00pm
3:00pm - 6:00pm


Friday
9:00am - 12:00pm


Saturday & Sunday
Closed

Palm Desert Chiropractic

73345 CA-111 #202
Palm Desert, CA 92260
P: (760) 636-1540
F: (760) 565-5243