Dr. Walter E. Mendoza Chiropractor P.C. offers our patient form(s) online so they can be completed it 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 - 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!

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HOURS OF OPERATION

Monday

10:00 am - 2:00 pm

3:00 pm - 7:00 pm

Tuesday

1:00 pm - 7:30 pm

Wednesday

10:00 am - 2:00 pm

3:00 pm - 7:00 pm

Thursday

1:00 am - 7:30 pm

Friday

10:00 am - 2:00 pm

3:00 pm - 7:00 pm

Saturday

10:00 am - 2:00 pm

Sunday

Closed

Monday
10:00 am - 2:00 pm 3:00 pm - 7:00 pm
Tuesday
1:00 pm - 7:30 pm
Wednesday
10:00 am - 2:00 pm 3:00 pm - 7:00 pm
Thursday
1:00 am - 7:30 pm
Friday
10:00 am - 2:00 pm 3:00 pm - 7:00 pm
Saturday
10:00 am - 2:00 pm
Sunday
Closed

Location

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