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805-641-9000

To complete your new patient forms in the in the convenience of your own home or office, simply print the chiropractic or nutrition questionnaire below, complete it, and put it in your bag or car immediately, to ensure that it will arive at your appointment with you. You can also scan (or photograph, in bright light) and email your completed forms to: drbinkley@binkleyhealingcenter.com.


Patient Intake Forms

Chiropractic Questionnaire

Nutrition Questionnaire



Download the Free AdobeReader®

Exclusive Offer

New Patients Receive a Free Consultation!

Office Hours

DayMorningAfternoon
Monday10-125-7
TuesdayClosed*
Wednesday10-125-7
ThursdayClosed*
Friday10-125-7
SaturdayClosed*
SundayClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
10-12 Closed* 10-12 Closed* 10-12 Closed* Closed
5-7 5-7 5-7

Note: The modification needed for the

Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
10-12 Closed* 10-12 Closed* 10-12 Closed* Closed
5-7 5-7 5-7
token is specified in the General Template Development Appendix page.

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