Lee Chiropractic
  • Home
  • About
    • Meet The Doctors
      • Dr. John Lee
      • Dr. Jerome Melad
    • ABC 7 News Interviews
    • FAQs
      • Chiropractic Adjustments FAQ
      • Ergonomics and Proper Posture Wellness FAQ
      • Pregnancy and Chiropractic Care Wellness FAQ
      • Subluxations FAQ
      • Chiropractic FAQ
  • New Patients
    • What To Expect
      • Your First Visit
      • Care in Three Phases
    • New Patient Special Offer
    • Payment Options
    • Schedule An Appointment
    • Online Patient Intake Form
    • Downloadable Forms
    • Office Photos
  • Conditions
    • Arm Pain
    • Arthritis
    • Asthma
    • Back Pain
      • Lower Back Pain
      • Upper Back Pain
    • Car Accident Pain
    • Disc Injury
      • Bulging Disc
      • Herniated Disc
    • Head Pain
      • Headaches
      • Migraines
    • Neck Pain
      • Tech Neck
      • Whiplash Injuries
    • Numbness & Tingling
    • Pinched Nerve
    • Sciatica
    • Scoliosis
    • Shoulder Pain
      • Frozen Shoulder
    • Stiffness
    • TMJ
    • Wrist Pain
      • Carpal Tunnel Syndrome
  • Other Conditions
    • ADHD
    • Allergy & Sinus
    • Daily Injuries
    • Digestive Problems
    • Ear Infections
    • Ergonomics and Proper Posture
    • High Blood Pressure
    • Menstrual Pain
    • Stress
    • Torticollis
  • Services
    • Chiropractic Adjustments
    • Massage Therapy
    • Laser Therapy
    • Orthotics
    • Spinal Decompression
    • Therapeutic Exercises
  • Wellness
    • Wearable Technology and Health Monitoring
  • Reviews
    • Video Testimonials
    • Written Testimonials
  • Contact Us
Phone: 949-552-2100
Lee Chiropractic
  • Home
  • About
    • Meet The Doctors
      • Dr. John Lee
      • Dr. Jerome Melad
    • ABC 7 News Interviews
    • FAQs
      • Chiropractic Adjustments FAQ
      • Ergonomics and Proper Posture Wellness FAQ
      • Pregnancy and Chiropractic Care Wellness FAQ
      • Subluxations FAQ
      • Chiropractic FAQ
  • New Patients
    • What To Expect
      • Your First Visit
      • Care in Three Phases
    • New Patient Special Offer
    • Payment Options
    • Schedule An Appointment
    • Online Patient Intake Form
    • Downloadable Forms
    • Office Photos
  • Conditions
    • Arm Pain
    • Arthritis
    • Asthma
    • Back Pain
      • Lower Back Pain
      • Upper Back Pain
    • Car Accident Pain
    • Disc Injury
      • Bulging Disc
      • Herniated Disc
    • Head Pain
      • Headaches
      • Migraines
    • Neck Pain
      • Tech Neck
      • Whiplash Injuries
    • Numbness & Tingling
    • Pinched Nerve
    • Sciatica
    • Scoliosis
    • Shoulder Pain
      • Frozen Shoulder
    • Stiffness
    • TMJ
    • Wrist Pain
      • Carpal Tunnel Syndrome
  • Other Conditions
    • ADHD
    • Allergy & Sinus
    • Daily Injuries
    • Digestive Problems
    • Ear Infections
    • Ergonomics and Proper Posture
    • High Blood Pressure
    • Menstrual Pain
    • Stress
    • Torticollis
  • Services
    • Chiropractic Adjustments
    • Massage Therapy
    • Laser Therapy
    • Orthotics
    • Spinal Decompression
    • Therapeutic Exercises
  • Wellness
    • Wearable Technology and Health Monitoring
  • Reviews
    • Video Testimonials
    • Written Testimonials
  • Contact Us

Online Patient Intake Form

  1. Home
  2. Online Patient Intake Form



Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Make an Appointment

We will do our best to accommodate your busy schedule. Schedule and appointment today!

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Online Forms

Our patient forms are available online so they can be completed in the convenience of your own home of offices.

VIEW FORMS

$97 New Patient Special Program

For a limited time, save $187 off your initial visit. You will receive a consultation, spinal examination, x-rays, and doctor's report of findings for only $97! (a savings of $178 off the regular total price of $275)*

SCHEDULE NOW

We provide quality chiropractic care for those in the Irvine and surrounding Orange County, California regions. We are top rated and reviewed in Irvine on Google. See for yourself by searching for "Irvine Chiropractor" on Google.

Our Office Hours

Monday8:30AM - 6PM
Tuesday8:30AM - 6PM
Wednesday8:30AM — 6PM
Thursday8:30AM — 11:30AM
2:30PM — 6PM
Friday8:30AM — 1PM
SaturdayMassages by Appt.
SundayClosed

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