Dr. Deborah Ben-Shah Woodland Hills Chiropractor/Menopause Coach

Dr. Deborah Ben-Shah Woodland Hills Chiropractor/Menopause CoachDr. Deborah Ben-Shah Woodland Hills Chiropractor/Menopause CoachDr. Deborah Ben-Shah Woodland Hills Chiropractor/Menopause Coach

818-457-1746

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  • Home
  • Online Menopause Coaching
  • Sign up for Health Blogs
  • Intake Forms
  • 1:1 Menopause Coaching
  • Fullscript Supplements
  • Buy Thorne Supplements
  • Book Online Now
  • Treatments Offered
  • Menopause Facebook Page
  • Contact Us
  • My YouTube Page
  • Frozen Shoulder Exercises
  • Back Pain Exercises
  • More
    • Home
    • Online Menopause Coaching
    • Sign up for Health Blogs
    • Intake Forms
    • 1:1 Menopause Coaching
    • Fullscript Supplements
    • Buy Thorne Supplements
    • Book Online Now
    • Treatments Offered
    • Menopause Facebook Page
    • Contact Us
    • My YouTube Page
    • Frozen Shoulder Exercises
    • Back Pain Exercises

818-457-1746

Dr. Deborah Ben-Shah Woodland Hills Chiropractor/Menopause Coach

Dr. Deborah Ben-Shah Woodland Hills Chiropractor/Menopause CoachDr. Deborah Ben-Shah Woodland Hills Chiropractor/Menopause CoachDr. Deborah Ben-Shah Woodland Hills Chiropractor/Menopause Coach

Signed in as:

filler@godaddy.com

  • Home
  • Online Menopause Coaching
  • Sign up for Health Blogs
  • Intake Forms
  • 1:1 Menopause Coaching
  • Fullscript Supplements
  • Buy Thorne Supplements
  • Book Online Now
  • Treatments Offered
  • Menopause Facebook Page
  • Contact Us
  • My YouTube Page
  • Frozen Shoulder Exercises
  • Back Pain Exercises

Account

  • My Account

  • Sign out

  • Sign In
  • My Account

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

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California Chiropractic Board Licensed #DC28770 and fully insured through NCMIC

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