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Online Forms

Advanced Spinal Health, LLC. 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 (661.327.0614) your printed and completed form(s) or bring it with you to your appointment.

Chiropractic 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!

Dr. Salyers Chiropractic New Patient Form
Dr. Heyart Chiropractic New Patient Form

Chiropractic Additional New Patient Forms - Required

Consent for Chiropractic Care
Health Information HIPPA
Insurance Billing Form
Office Policies


Nutritional Consulting New Patient Forms - Required

Dr. Salyers Nutritional Intake Form
Metabolic Assessment Form


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Office Hours

Our Regular Schedule

Monday:

8:30 am-6:00 pm

Tuesday:

8:30 am-6:00 pm

Wednesday:

8:30 am-6:00 pm

Thursday:

8:30 am-6:00 pm

Friday:

8:30 am-6:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonial

Review By Our Satisfied Patient

  • "After an entire month of a constant headache, I had 24 hours of relief after the first visit. It was a great night of sleep without my head hurting. With additional adjustments, I'm sure I will be a headache free, thanks to Dr. Salyers! I should have visited much sooner!"
    Lisa V. - Bakersfield, CA ** Results may vary patient to patient