Switch to Main Site
Practice Name

Faith Chiropractic Clinic

Primary Location
4155 Moorpark Ave., #15
San Jose, CA 95117
Phone: (408) 252-9889

Office Hours

DayMorningAfternoon
Monday10:00am7;00pm
Tuesday10:00am7;00pm
Wednesday10:00am7;00pm
Thursday12:00pm7;00pm
Friday10:00am7;00pm
SaturdayBy Appt.Closed
SundayClosedClosed
Main Content

Faith Chiropractic Clinic 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 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!

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Exclusive Offer

Reduced prices for cash payments.

Sign-up using the form or call us at (408) 252-9889 to take advantage of this exclusive offer.

Name: *
Email: *
Phone: *

About Us

We can't wait to meet you. Read more about us and our chiropractor. 

Read More

Follow Us

Make Appointment

We will do our best to accommodate your busy schedule. Schedule an appointment today!

Schedule Now

Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

Read More

Contact

Faith Chiropractic Clinic
4155 Moorpark Ave., #15
San Jose, CA 95117
Get Directions
 
From:  To:  Get Directions
Driving Directions: Reverse Directions Print Directions

Office Hours

DayMorningAfternoon
Monday10:00am7;00pm
Tuesday10:00am7;00pm
Wednesday10:00am7;00pm
Thursday12:00pm7;00pm
Friday10:00am7;00pm
SaturdayBy Appt.Closed
SundayClosedClosed
Newsletter

Newsletter Sign Up










Community Content