New Patient Forms
At Hifai Chiropractic in San Diego, we want to make your visit to our chiropractic office a convenient and efficient experience without the trouble of having to wait to fill out the required paperwork in the office. Now you can do it from the comfort of your own home.
American Specialty Health Plan HMO
Initial Health Status FormArm, Shoulder and Hand Disability Form
Low Back Disability Form
Neck Disability Form
Lower Extremity Disability Form
American Chiropractic Network
ACN Back IndexACN Arm, Shoulder and Hand Form
ACN Lower Extremity Form
ACN Neck Index Form
ACN Patient Summary Form
Spanish Forms / Espanol
INDICE DE LA ESPALDAESCALA FUNCIONAL DE LA EXTREMIDAD INFERIOR
INDICE DEL CUELLO
DASH
Patient Summary
Get $59 New Patient Special!
Come into Hifai Chiropractic for
Consultation, Examination, Computer Surface EMG Scan with Report & 1 Month Of Free App Access.