408-364-6600

Relief, Correction & Wellness

for the whole family

Reaching your highest potential

facebook yelp yelp twitter youtube

New Patients

This page is your source for new patient information, from how to become a patient to what you can expect on your first visit. Click the links in the spine menu to the left for more information on each topic.

Call Today to Get Relief 408-364-6600

The first link below will take you to a secure, fully encrypted form that you can complete.  Please hit the submit button when you are done.  We will process your information and be ready to care for you upon your arrival at our office.

https://www.mychirotouch.com/patientintake/?clientid=KFC0010

If you cannot or do not wish to complete the secure registration above, please print and complete the four forms you see below on this page.  Bring them with you to your first appointment along with your insurance card (if you have one) and any accident information that you might have if that applies. Adobe Acrobat Reader is required to view and print these PDF documents:

To make an appointment just click the link here -

 

Thank you and we look forward to meeting you and helping you get well.