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New Patient Paperwork

Advanced Wellness Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them...
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.
OFFICE HOURS
Monday8:30am - 6:00pm
Tuesday8:30am - 6:00pm
Wednesday8:30am - 6:00pm
Thursday8:30am - 6:00pm
Friday8:30am - 6:00pm
Saturday9:00am - 12:00pm
SundayClosed
Chiropractic Long Beach Area CA Advanced Wellness Center Logo

Advanced Wellness Center
14340 Bolsa Chica Road Suite G
Westminster, CA 92683
(714) 709-8030

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Recommended Chiropractor

WHAT OUR PATIENTS SAY

“Just a short note to let you know I am very grateful for all your help and words of encouragement. I am now in Oklahoma and doing well. I’m continuing my back exercises and am doing much better. It feels good to feel good again. Again, thanks very much.”


- Denise E.

“Words can’t express how grateful I am for all the extra time, guidance and words of encouragement. Thank you for helping me in the process of better health. You’re a great doctor and your heart is in the right place.”


- Dave V.

“I so appreciate your intuitive understanding of my body and energy system. Your use of a variety of modalities is very effective in returning me to a state of balance. I always leave an appointment feeling that my entire energy system has been attended to, rather than just the symptoms I came in with.”


- Bonnie B.

Recommended Chiropractor - White

14340 Bolsa Chica Road Suite G

Long Beach Area, CA 92683