(408) 263-8025

Family Chiropractic and Natural Healing Center

Dr. Gregory A. Lind D.C.

Online Forms

Download our forms online and fill them out at your convenience before arriving at our office.

Once completed, either fax us your forms or bring them in with you to your appointment.

Use AdobeReader® to view and print our forms. If you do not have AdobeReader®, it is available as a free download here: Download AdobeReader®


Combined forms (this is a combination of all the forms listed below)

Download and Print Combined Forms


Welcome Form

Download and Print Welcome Form


HIPAA Privacy Notice

Download and Print HIPAA Privacy Notice


Informed Consent

Download and Print Informed Consent Form


Patient Information Sheet

Download and Print Patient Information Sheet


Personal Injury Questionnaire 

Download and Print Personal Injury Questionnaire


Download AdobeReader® (Free Application)

 

Contact Information

Phone: (408) 263-8025
Fax: (408) 263-8026

  

Address: 1778 Clear Lake Ave. Milpitas, CA 95035

 

Family Chiropractic and Natural Healing Center

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Office Hours

 Monday:  9:00am - 12:30pm  2:00pm - 6:00pm
 Tuesday:  9:00am - 12:30pm  2:00pm - 6:00pm
 Wednesday:  9:00am - 12:30pm  2:00pm - 6:00pm
 Thursday:  9:00am - 12:30pm   2:00pm - 6:00pm
 Friday:  9:00am - 1:00pm  Closed
 Saturday:  9:00am - 1:00pm  Closed
 Sunday:  Closed  Closed