header-top-bar

New Patient Paperwork

A Plus Chiropractic Care offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them...
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

printerNew Patient Paperwork - Click Here to Download

 

printerNew Patient Paperwork -Auto Accident Injury- Click Here to Download

 

printerNew Patient Paperwork - TSFL Health Assessment- Click Here to Download

OFFICE HOURS
Monday8:30am - 6:00pm
Tuesday8:30am - 2:00pm
Wednesday8:30am - 6:00pm
Thursday8:30am - 6:00pm
Friday8:30am - 2:00pm
SaturdayClosed
SundayClosed
Chiropractic Mesa AZ Office A Plus Chiropractic Care logo

A Plus Chiropractic Care
3048 East Baseline Road #130
Mesa, AZ 85204
(480) 649-5868

Recommended Chiropractor

WHAT OUR PATIENTS SAY

“Great staff really friendly and Dr. Howard is a true professional, by delivering excellent service.”

- David W.

“Dr. Fern in my opinion is top shelf, I would not have the ability to continue working in my trade without his medical expertise.”

- Robert M.

“Dr. Fern is extremely caring about his patients and will do everything within his power to make you better, but with you in mind always.”

- Alberto A.

Recommended Chiropractor - White

3048 East Baseline Road #130

Mesa, AZ 85204