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.




Dr. Kevin Priestley, 3 Corporate Plaza, Ste. #200, Newport Beach, CA
(949) 640-7030

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Dr. Priestley Asks some important questions of interest to Newport Beach residents - Chiropractor Newport Beach Dr. Priestley Asks...

Why are frequent visits advised when starting chiropractic care?
Consistent visits at the beginning of your chiropractic care help create the momentum necessary to correct and retrain unhealthy spinal patterns. Later, Newport Beach practice members find that continued care on a less frequent visit schedule can help preserve their progress and avoid a relapse.
Is a muscle spasm a cause or an effect?
With the knee-jerk use of muscle relaxers, you'd think it was a cause. But it's an effect. Chiropractors know that bones don't move unless muscles move them. And muscles don't contract unless commanded by the nervous system. That's why your nervous system is the focus of our Newport Beach chiropractic practice.