BECOME A PATIENT - MAKE AN APPOINTMENT

We are looking forward to helping you! Please, take a few moments and you can easily schedule your own appointment!
Simply fill out the information on the form provided and show up for your appointment - it's that simple! In order to make your initial Chiropractic visit even quicker and more enjoyable you may fill out our new patient form online, print it out and bring it in with you, then you won't need to bother with pesky forms once you arrive!



Patient Information 
Name:
Address:
City
State
Zip Code
Phone:
Work Phone (optional):
E-mail:
Appointment Details

We will do everything we can to schedule your appointment at your preferred time and day! However we must confirm the availability with you by your choice, Email or Phone.

      

      



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Wrightwood Chiropractic Care
1261 Evergreen Rd., Wrightwood, CA 92397
Call (760) 249-6877 or (866) 902-9224 (toll-free)
Fax: (760) 249-6377
info@wrightwoodchiropracticcare.com

Got a question for Dr. J? email him personally at DrJ@WrightwoodChiropracticCare.com

Printable New Patient Form

For Dr. J approved household products for your overall health and wellness,
please visit our friend 
Elsa Day's Healthy Home Website!