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Online Forms

We offer our paperwork online so you can complete it in the convenience of your own home.


Health History for all New Patients

This lets us know what’s happened, but perhaps more importantly, it asks: Where do you want to take your health?

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Personal Injury Forms

If you were involved in an auto accident, please fill out this form and bring it to your visit.

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Once you download and print the above forms,
please choose from the forms below that best fit your current issue.

Low Back Pain

Please print, complete, and bring in to your visit.

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Neck Pain

Please print, complete, and bring in to your visit.

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Shoulder

Please print, complete, and bring in to your visit.

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Lower Extremity

Please print, complete, and bring in to your visit.

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Headaches

Please print, complete, and bring in to your visit.

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Fibromyalgia

Please print, complete, and bring in to your visit.

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Stress

Please print, complete, and bring in to your visit.

pdf icon Download & Print Form STRESS-Questionnaire


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Mink Chiropractic | (650) 425-7723

San Mateo families enjoy chiropractic and its amazing benefits.

Chiropractic Website by Perfect Patients.