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Location

Location:

9605 Arrow Route Ste. B

Rancho Cucamonga, CA 91730

(909) 257-7044




Rancho Cucamonga Chiropractor | New Patient Forms
New Patient Forms

To serve you better please print and fill out New Patient Forms before your initial visit. If you do not have it completed ahead of time you will need to fill it out in the office. You will see the doctor sooner by having your paper work ready! Thank you!

 

 


 



Click Here for Consent to Treat Form

Click Here for HIPPA (Health Information Privacy Act) Form page 1

Click Here for HIPPA (Health Information Privacy Act) Form page 2

Click Here for Assignment of Insurance Benefits Form

Click Here for Request to Bill Insurance Form


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ProSportsDoctor.com
(909) 257-7044

Success Stories

Brittani C | Rancho Cucamonga, CA

So glad we found Dr. Frank...my husband injured his back and was in a lot of pain, and we found Dr. Frank through Groupon, needing a same-day appointment. Dr. Frank returned our call shortly after we left him a voicemail and was able to see my husband that day. My husband has since returned to see Dr. Frank several times for care.

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Newsflash

Same Day Treatment
Once finished with the examination and all appropriate studies, patients will generally be provided with their first treatment during this same visit. This may include spinal adjustments, physical therapies, and/or soft tissue therapies.