LA JOLLA CHIROPRACTIC HEALTH CENTER
Complimentary Office Forms
Chiropractic Medical, Accident History, and Office Information Forms
In order to save valuable time with the doctor, kindly print-out and complete by hand the following 4
forms prior to your initial chiropractic office visit. If you prefer, these forms can be e-mailed or faxed
to you upon your request, and are available in Microsoft Word or Adobe Acrobat formats. Please phone
the office at 858-472-1857 if you have any questions or need assistance.
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Form 1: Click and Print...
Form 2: Click and Print...
Form 5: Click and Print...
Dr. Michael Ackerman helps patients to understand and release the emotional stress patterns underlying their physical problems and disease. Dr. Michael Ackerman has been in practice
as a chiropractor in La Jolla, California, for 12 years of his 23 years in practice. Being a La Jolla Chiropractor in San Diego has been extremely rewarding for Dr. Michael Ackerman, and he is
unique among the chiropractic doctors in La Jolla and San Diego in that he has worked with professional athletic teams, such as the New Orleans Saints, the Delta Festival Ballet Company,
as well as collegiate and amateur athletes from most sports backgrounds. Dr. Michael Ackerman enjoys practicing as a chiropractor by the sea in such a beautiful town as La Jolla,
California, but he also does healing consultations by phone with people from all over the country.
Form 4: Click and Print...
Form 3: Click and Print....
Form 6: Click and Print...