Online Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential intake forms for our office.


Intake Form - Ages 14 and over

 Download & Print Form (14 and over)


Intake Form - Ages 0 - 13

 Download & Print Form (0 - 13)


Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

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Dr. Priestley Asks some important questions of interest to Corona del Mar residents - Chiropractor Corona del Mar Dr. Priestley Asks...

Can those with osteoporosis get chiropractic care?
Of course. When developing a care plan, we consider the unique circumstances of each practice member. There are many ways we can adjust the spine. The chiropractic method we select will be best suited to your age, size and unique situation.
What is the purpose of pain?
Pain prompts many Corona del Mar folks to begin chiropractic care. But pain isn't the problem! Pain is just how your body alerts you that a limit has been reached (or exceeded), that something isn't working right and that some type of change is needed. As a chiropractor, my job is finding the underlying cause and recommending the changes needed to bring your body back into balance.