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Primary Location

80-545 Highway 111, Suite B

Indio, CA 92201 US

760-347-6822

Online Forms

Advanced Physical Health Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Click Here to Access Form


 Additional required notices to be reviewed and signed appear below.

Please download, review, and sign. These can be printed out and brought into your appointment or

Additional required new patient forms (English)

Additional form required by Medicare:



Download the Free AdobeReader®

CONTACT US TODAY

We look forward to hearing from you

Location

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Office Hours

Our Regular Schedule

Monday:

9:00 am - 12:00 pm

1:00 pm - 6:00 pm

Tuesday:

9:00 am - 12:00 pm

2:00 pm - 5:00 pm

Wednesday:

9:00 am - 12:00 pm

1:00 pm - 6:00 pm

Thursday:

9:00 am - 12:00 pm

2:00 pm - 5:00 pm

Friday:

9:00 am - 12:00 pm

1:00 pm - 6:00 pm

Saturday:

By Appointment

Closed

Sunday:

Closed

Closed