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415-771-7071
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505 Beach Street, Suite 110, San Francisco CA 94133
Phone 415-771-7071 | Fax 415-771-7073
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About Us
N.U.C.C.A. Chiropractic
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All the forms you need
Below, you'll find all the forms you'll need to begin your care with us. Processing time during your first appointment can be greatly expedited should you complete these forms before arriving.
Download / Fill Out and Email to:
newpatients@meakimandstern.com
1.
New Patient Questionnaire
(MS Word format)
2.
Patient Intake Form
(MS Word format)
3.
Pain Index Questionnaire
(MS Word format)
Download / Print / Sign and bring to first appointment:
3.
Notice of Privacy Practices - HIPPA
(PDF)
4.
Informed Consent Form
(PDF)
Dr. Stern D.C.
Dr. Meakim D.C.
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Maintaining Your Alignment
Healthy Back Tips
Whiplash
Tailbone Pain
Sciatic Pain
Numb Fingers