Online Forms

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

  • New patients, please fill out the Online Health History Form. 
  • Auto accident patients please download and fill out the appropriate form, then bring it to your appointment.
  • The HIPAA and Privacy Notice documents will be completed when you check in.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.

New Patient Online Health History Form - Required

Complete Online Form, then print

Auto Accident Form (print and complete, bring with you to the clinic)

Download and Print

HIPAA and Privacy Notice (can be completed at the clinic)

Download & Print

Office Hours

Our Regular Schedule

Monday:

8:00 am - 12:00 pm

2:30 pm - 6:00 pm

Tuesday:

11:00 am - 1:30 pm

3:00 pm - 6:00 pm

Wednesday:

8:00 am - 12:00 pm

2:30 pm - 6:00 pm

Thursday:

11:00 am - 1:30 pm

3:00 pm - 6:00 pm

Friday:

8:00 am - 12:00 pm

Closed

Saturday:

By Appointment

Closed

Sunday:

Closed

Closed

Location

Find us on the map