Intake Paperwork

The patient process at CLiCK a Modern Chiropractic Clinic begins with filling out new patient intake paperwork. You can download and print off the intake paperwork online by clicking on the desired button below. Please fill out all paperwork as completely as possible and sign all forms. This will also save you about 20 minutes when you first arrive at the practice.



Located at:
670 N 54th Street Suite 1,
Chandler, AZ 85226

phone number:  (480) 701-8201

Soon to be open 6 days a week!
Monday: 10am- 6pm
Wednesday: 10am- 6pm
Thursday: 10am- 6pm
Closed For Lunch: 1:30pm- 2:30pm