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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

Michelle B | San Bernardino, CA

When I first started going to Dr Frank I had purchased a Groupon.  When I started seeing him I was in severe pain!!! I had a severe case of TMJ and had been in pain for probably 10 years!!! and it just happened to be that he specializes in adjustments for TMJ~~ ( Jesus sent me to the RIGHT Chiropractor!!)

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Newsflash

Consultation
Once the paperwork has been completed, you will have a consultation with the doctor to discuss your health-related problems, concerns, as well as potential treatment options.