Online Forms

The doctors offer our patient forms online so they can be completed in the convenience of your own home or 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 (Chiro Touch Intake Form) Required

This let's 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 on ChiroTouch Intake Form ChiroTouch Intake Form

If you are having difficulty with the filling out the online form, please click "Download & Print Form"

Download & Print Form


Arbitration Agreement-Required

Download & Print Form


Informed Consent To Care-Required

Download & Print Form


Pediatric Patient Form - Optional

Download & Print Form


Breathe

Download & Print Form


Cervical Towel Roll

Download & Print Form


Cervical Rotation Exercise

Download & Print Form


Cervical Resistance

Download & Print Form


Cervical Fullcrum

Download & Print Form


Core Exercise

Download & Print Form


Core Exercise Modify

Download & Print Form


Critical Care for Cervical Spine

Download & Print Form


Critical Care for Lumbar Spine

Download & Print Form


Cross Crawl Exercise

Download & Print Form


Lumbar Rotation Exercise

Download & Print Form


Push-up against the wall

Download & Print Form


Shoulder

Download & Print Form


Shoulder and Back Muscle Relaxation Activity

Download & Print Form


Shoulder Relaxation and Chest Expansion

Download & Print Form


Throwing

Download & Print Form


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New Patient Specials

Sign-up using the form or call us at 805-495-0708 to take advantage of our current offers.

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Testimonials

Reviews By Our Satisfied Patients

  • "Dr. Gilmartin is 100% committed to my success as a patient and individually in life and it is great to have a health care provider who is dedicated to my total health of mind and body."
    KB.

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