New Patient Form | Chiro-Health, Inc

”

San Francisco
211 Sutter Street, Suite 401
San Francisco, CA 94108
(415) 546-1461
Call Now

Home
Conditions Treated
Back, Neck & Shoulder Pain
Lower back pain
Upper Back & Neck Pain
Frozen Shoulder
Shoulder Pain
Arm & Leg Pain
Sciatica
Headaches
Sports Injuries
Plantar Fasciitis
Tennis Elbow
Repetitive Stress Injuries (RSI)
Carpal Tunnel
Pregnancy Related Conditions
Whiplash
Scoliosis
Stress Related Conditions
New Patients
Finances
Insurance
New Patient Forms (PDF)
Treatment
What Our Patients Say
What You Can Expect
Services
Chiropractic Care
Acupuncture
Sports Medicine Clinic
Physical Therapy
Massage Therapy
Specialized Services
Health Fairs / Education Clinics
Staff
Dr. Amelia Mazgaloff
Dr. Amber Latza
Li (Eve) Wang, L.Ac
Anthea Vishegonov - Marketing
Videos & Links
Blog
Personal Injury
Attorney Information
Patient Information
Testimonials
Contact
Pay here

Navigation

Home
Conditions Treated
» Back, Neck & Shoulder Pain
» » Lower back pain
» » Upper Back & Neck Pain
» » Frozen Shoulder
» » Shoulder Pain
» Arm & Leg Pain
» » Sciatica
» » Headaches
» Sports Injuries
» » Plantar Fasciitis
» » Tennis Elbow
» Repetitive Stress Injuries (RSI)
» » Carpal Tunnel
» » Pregnancy Related Conditions
» » Whiplash
» » Scoliosis
» » Stress Related Conditions
New Patients
» Finances
» Insurance
» New Patient Forms (PDF)
» Treatment
» What Our Patients Say
» What You Can Expect
Services
» Chiropractic Care
» Acupuncture
» Sports Medicine Clinic
» Physical Therapy
» Massage Therapy
» Specialized Services
» Health Fairs / Education Clinics
Staff
» Dr. Amelia Mazgaloff
» Dr. Amber Latza
» Li (Eve) Wang, L.Ac
» Anthea Vishegonov - Marketing
Videos & Links
Blog
Personal Injury
» Attorney Information
» Patient Information
Testimonials
Contact
Pay here

Click here to request an appointment

New Patient Forms (PDF)

#1 New Patient Health History Form
(Click To Download & Print Form)

#2 Notice Of Privacy Practices
(Click To Download & Print Form)

#3 Financial Agreement
(Click To Download & Print Form)

#4 Chiropractic Informed Consent To Treat
(Click To Download & Print Form)

#5 Acupuncture Informed Consent To Treat
(Click To Download & Print Form)

#6 Automobile Accident
(Click To Download & Print Form)

If you do not already have AdobeReader® installed on your computer, Click Here to download.
Download the Free AdobeReader®

Select A Service To Learn More

Comparing Chiropractic and Massage Therapy

While different and distinct, chiropractic and massage therapy have great benefits on their own, but when used in tandem, there are amazing therapeutic procedures which provide pain relief.

Read more

Massage Therapy and Stress

Massage therapy has many useful outcomes. Getting a massage can help you relax and reduce pain or tightness in your muscles. Massage therapy can also improve motion in joints. In addition to these outstanding benefits, massage therapy can enhance circulation, in turn reducing stress levels. Stress [...]

Read more

Chiropractic for Sports Injuries

Sports injuries? See your chiropractor! Chiropractors can help treat and prevent injuries related to sports. They are skilled at adjustment of the spine and the extremities ensuring that the bones are aligned and soft tissue can heal properly. The main reasons athletes suffer sports injuries [...]

Read more

Why Stand Not Sit? The standing desk hype.

The Standing Desk Hype In the last year, San Francisco has become The Technology Hub, The New Silicon Valley, The High Tech Paradise, The New Gold Rush destination. Pinterest, Zinga, Square, Salesforce, Twitter, Zendek, and hundreds of more high-tech startups have set up shop in San Francisco. [...]

Read more

Allergies and Back Pain

Allergies and back pain connection There is no scientific evidence that links seasonal allergies to back pain, meaning that if you have allergies you will not necessarily have back pain and vice versa. But it doesn't mean that back pain can't result from all that sneezing, coughing, sinus [...]

Read more

Inflammation and Pain: Good or Bad?

Let's talk about inflammation and pain: are they Good or Bad? Many people think that inflammation and pain are bad things. Well, sometimes they are and sometimes they aren't. First, let's look at inflammation. Acute Inflammation - Good The acute inflammatory process is what helps heal [...]

Read more

10 Reasons You'll Love Chiro-Health Inc.

Chiro-Health patients are satisfied with the services they receive! 1) Long Appointment Times Chiro-Health is not a crack-and-pop service. Clients get half-hour appointments during which they are cared for and listened to. 2) A Modern Approach to an Ancient Practice Chiro-Health [...]

Read more

2020 In Review

Dear Chiro-Health Community, Happy New Year! We are so grateful for all of you and your endless support throughout 2020! We are honored to have had such wonderful patients, and appreciate that you allowed us the opportunity to make you feel good and, most importantly, make you feel healthy. [...]

Read more

No Pain? Then Why Go to A Chiropractor?

A common question I get from patients is, “Why should I go to a chiropractor when I have no pain or symptoms?” In other words, “Why should I get adjusted all the time?” To answer this question, we must target the root of the query by discussing what the benefits of chiropractic care are [...]

Read more

Pelvic Torsion / Short Leg Syndrome

Do you have a short leg? Definition Many runners are affected by short leg syndrome and might develop muscular imbalances and pain as a result. Having one leg longer than other is similar to driving a car with one car tire longer than the others. One shoe heel will usually wear away more than[...]

Read more

Chiropractic Care Before Medication

Most people turn to medication as a first resort for relieving musculoskeletal pain or physical discomfort. Taking medication is a good short term solution to get you through the day. Let me explain why chiropractic care is a better solution in the long run. The RX Medication Treadmill [...]

Read more

Health Maintenance Habits

Chiropractic philosophy stresses the importance of maintaining one’s health, otherwise explained as taking care of yourself before you become sick. Health maintenance is central to chiropractic care because it goes against people waiting until they develop a problem to pay attention to their [...]

Read more

Ace Your Golf Experience

Whether you are a novice or a professional golf player, Chiro-Health Inc. is here to support you on your golf journey by offering a golf swing analysis. A golfer demonstrating proper and poor golf swing mechanics. Many consider golf to be a relaxing sport that does not require brutal [...]

Read more

Misalignment: Are our bones “out of place”?

One of the biggest misunderstandings about chiropractic is that the bones are out of place and are being adjusted back into place. Allow me to clarify. Chiropractors often over-simplify the explanation of an adjustment or miscommunicate the idea of the “bone being out of place.” Frankly,[...]

Read more

5 Questions About Chiropractic Adjustments

1. What are Chiropractic Adjustments? Chiropractic adjustments or Chiropractic manipulative therapy (CMT) is a procedure in which a practitioner uses their hands or an instrument to apply a controlled force to a speciﬁc joint in the body. The goal of the adjustment is to restore motion to the [...]

Read more

Fear of Chiropractic adjustments? 10 comforting facts

Chiropractic adjustments are safe and effective. Fear of chiropractic adjustments is what stops many people from experiencing the benefits of chiropractic care. These facts can help you put your fears of getting adjusted aside and feel better now. Check these out before scheduling your first [...]

Read more