Discover Chiropractic
151 North Sunrise Avenue
Roseville, CA 95661-4516
ph: 916.772.7722

Office Hours:
Mon & Wed: 8am – noon & 3pm – 6pm
Tues: 3pm – 6:30pm
Thurs: 8am – noon & 3pm – 6:30pm
Saturday: Once Per Month By Appt Only

Adult Health History

Wellness Care for a Better Quality of Life
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  8. Best Number To Contact Is:
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  16. Marital Status
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  21. Past Chiropractic Care?
  25. Current Medical Care?
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  29. Reason for consulting this office?
  31. Please select your current goal for your health/wellbeing
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  34. Symptoms are the body's way of getting your attention. Please check any below symptoms you have experienced or are experiencing;
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  40. Select the best day of the week to schedule an appointment:
  42. Select the best time of day to schedule an appointment:
 

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