Appointments

Fill out the following form to schedule an appointment with our office. We will confirm the appointment via email.

(Please Note: Your privacy is 100% assured.)
* Name:
* Street Address:
* City:
* Email:
* Daytime Phone:
Evening Phone:
Referred By:
Preferred appointment time:
(We will try to accommodate your requested time.)
Time Day Month
am pm
Optional: Print and complete required forms to expedite your office visit.
Optional: Complete the area below if you would like us to check your insurance coverage:

Comments:

  • Testimonials – Kaylen & Diane

  • Testimonial – Carole R.

    "My allergies, digestion, joints and my overall health has greatly improved!"
  • Testimonial – Family

  • Testimonial – Bernie G.

    "Not only did I feel great throughout my pregnancy, but I know that my labor went easily because of chiropractic. Now I tell every pregnant woman to get to a chiropractor!"
  • Testimonial – Barbara I.

    "I made my first chiropractic appointment out of desperation. Even though I had completed Kaiser's 10-week back care program, my back and hips still hurt so much that I could not sleep at night. My health deteriorated because I was exhausted due to lack of sleep, and I cried at night because nothing I did alleviated the pain. My first chiropractic adjustment gave me instant relief. After a few appointments I felt good again."
  • Testimonial – Charley T.

    "I urge all the people I know personally to seek chiropractic treatment. It works wonders!"
  • See More Testimonials

Ask The Doctor

If you are seeking chiropractic care in San Jose, we know you’ll have lot of questions. For your convenience, we would like to take the time to answer the most commonly asked questions below.
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Healthy Back Tips

Maintaining a healthy spine is vital to your health and well-being. In between regular visits to your chiropractor, here are the top 10 things you can do to keep your spine healthy and free of pain and discomfort.
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Family Life Chiropractic in San Jose