window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-088N2ZPL1B');

Patient Forms


Valley Center Chiropractic offers patient forms online so they can be completed in the convenience of your own home or office.

 - If you do not already have AdobeReaderĀ® 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) at 1-760-751-3559, or bring it with you to your appointment.
 - If you cannot print out your forms, come in 30 minutes early to do so. 

Fees & Insurance

Before your visit , please  read  Chiropractor in Valley Center | Fees and Insurance in Valley Center | Valley Center Chiropractic and Holistic Care 

New Patient Orientation- Required reading before your appointment.

If you desire chiropractic care and are new to chiropractic , please read What is Chiropractic?

If you desire natural medicine and nutritional care and are new to alternative medicine and applied kinesiology (muscle testing) please read What is Nutrition Response Testing and Designed Clinical Nutrition?

New Patient Health History, Policy and Consent Forms - All five required
Download and print out the following forms, complete them fully, and bring them in to our office or FAX to 1-760-751-3559. If you cannot complete these forms before your visit, we need you to arrive 45 minutes early to allow time to do so.

Form #1: New Patient Introduction

Form #2- New Patient Presenting Complaints and History

Form #3 - Metabolic Assessment

Form #4 - Office and Insurance Policy

Form #5 - Consent Forms

(Dr. Maher will witness the patient consent forms with you and answer any questions related to consent that you wish to discuss).

READ  Privacy Policy : Your Health Information Privacy Rights

We invite you to visit and like us at

I promise you frequent informative posts, news, events and workshop announcements

and self help advice for you and your friends!

Send Us An Email Today

Our Location

Find us on the map

Office Hours

Find Out When We Are Open


12:30pm - 5:30pm


9:30am - 2:30pm


12:30pm - 5:30pm


9:30am - 2:30pm


12:30pm - 5:30pm


9:30 am-1:30 pm



To receive Dr. John's weekly  email "Two Minute Natural Health Tips", subscribe free here 

Also, though it is best to have " a chiropractor near me " , seeing " the best chirorpactor " is wor!th the trip!