Accessibility View Close toolbar
Menu

Online Forms

Clarizio Chiropractic, Inc offers our patient forms online so they can be completed in the convenience of your own home or office.

Call our office (626-447-0447) and give us your email address. We will email you a link so you can set up your PATIENT PORTAL. This will allow you to fill out all the necessary information online and your information will be sent to our office automatically. In the future you can always log into your PATIENT PORTAL and have access to your all your evaluation findings.

OR

  • Download the necessary forms, print it out and fill in the required information. Download & Print Form
  • Fax us your printed and completed forms (626-447-0324) or bring it with you to your appointment.
  • If you do not already have AdobeReader® installed on your computer, click here to download.




Download the Free Adobe Reader®

Contact Us

Send us an email

Location

Find us on the map

Office Hours

Our Regular Schedule

Clarizio Chiropractic

Monday:

8:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

8:00 am-6:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

8:00 am-6:00 pm

Saturday:

9:00 am-12:00 pm

Sunday:

Closed