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  • Menopause Makeover Guide
  • Contact Us
  • Online Menopause Coaching
  • Book Online Now
  • Intake Forms
  • Managing Menopause Guide
  • 1:1 Menopause Coaching
  • Fullscript Supplements
  • Menopause Facebook Page
  • My YouTube Page
  • Frozen Shoulder Exercises
  • Back Pain Exercises
  • Chiropractic CE Course
  • More
    • Home
    • Menopause Makeover Guide
    • Contact Us
    • Online Menopause Coaching
    • Book Online Now
    • Intake Forms
    • Managing Menopause Guide
    • 1:1 Menopause Coaching
    • Fullscript Supplements
    • Menopause Facebook Page
    • My YouTube Page
    • Frozen Shoulder Exercises
    • Back Pain Exercises
    • Chiropractic CE Course

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  • Home
  • Menopause Makeover Guide
  • Contact Us
  • Online Menopause Coaching
  • Book Online Now
  • Intake Forms
  • Managing Menopause Guide
  • 1:1 Menopause Coaching
  • Fullscript Supplements
  • Menopause Facebook Page
  • My YouTube Page
  • Frozen Shoulder Exercises
  • Back Pain Exercises
  • Chiropractic CE Course

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Intake Forms to Download

Please click and download the top 3 forms for Chiropractic care and the bottom 4 plus the HIPPA form for Menopause Wellness Coaching (5 total forms for Menopause Coaching).

Chiropractic New Patient History Forms (pdf)

Download

Chiropractic Informed Consent (pdf)

Download

HIPPA Notice of Privacy Practices (pdf)

Download

Menopause Coaching Consent Form (pdf)

Download

Daily Food Diary (pdf)

Download

Menopause Pre-consultation assessment (pdf)

Download

Menopause Health Questionnaire (pdf)

Download

Copyright © 2021 Woodland Hills Chiropractor in Los Angeles - All Rights Reserved.


California Chiropractic Board Licensed #DC28770 and fully insured through NCMIC

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