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Online Forms

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

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

New Patient Intake Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


New Patient Arbitration Agreement- Required

It's unlikely, but if we ever disagree, this form simply states that you agree to settle our disagreement in an Arbitration setting instead of Court.

Download & Print Form



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Location

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Office Hours

Our Regular Schedule

Monday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

Wednesday:

8:00 am-10:00 am

3:00 pm-6:00 pm

Thursday:

8:00 am-11:30 am

3:00 pm-6:00 pm

Friday:

8:00 am-12:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "I had pulled my sciatic nerve and I was in extreme pain and after a week straight of adjustments and with a combination of laser treatment I felt like I was never in pain a week earlier. Thanks Dr. Lohman."
    Lorena G. - Santa Maria, CA
  • "My young son has had difficulties due to asthma. Dr. Lohman has adjusted him and treated him with the Vibra massage and that has helped tremendously. Thanks to Dr. Lohman."
    Marissa T.
  • "As a patient of Dr. Lohman's for 20 years, I have nothing but good things to say. Thank you for everything Dr. Lohman."
    Joe N.