Lee Chiropractic

Address

3500 Barranca Pkwy Suite 310, Irvine, CA 92606

Phone

(949) 552-2100

Downloadable Forms

Lee Chiropractic offers our patient form(s) online so you can complete 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 Health History 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!

Auto Injury Questionnaire – Optional

Your privacy is important to us. All information received in the above forms and through other communications is subject to our Patient Privacy Policy.