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Practice Name

Elite Chiropractic & Wellness Center

Primary Location
239 S. La Cienega Blvd, Suite 201
Beverly Hills, CA 90211
Phone: (310) 880-1695
Fax: (866) 509-1539

Office Hours

DayMorningAfternoon
Monday9:00am5:00pm
Tuesday3:00pm7:00pm
Wednesday9:00am5:00pm
Thursday1:00pm7:00pm
Friday8:00am3:00pm
Saturday10:00am1:00pm
SundayClosedClosed
Main Content

Elite Chiropractic & Wellness Center 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.

Health Questionaire Form

Download & Print Form

New Patient Health History Form

Download & Print Form

HIPPA Form

Download & Print Form

Consent Form 

Download & Print Form

Initial Problem Record Form

Download & Print Form



Download the Free AdobeReader®

Exclusive Offer

New patients receive 15% OFF first visit.

Sign-up using the form or call us at (310) 880-1695 to take advantage of this exclusive offer.

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Testimonial

"I have been suffering from headaches for the past few years. I read somewhere that chiropractic can help with headaches. I was tired of taking medication so I gave it a shot. I use to get headaches everyday, now I get them about once a month. Thank you so much Dr. J!!"
- Jackie W.

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Services

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

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Contact

Elite Chiropractic & Wellness Center
239 S. La Cienega Blvd, Suite 201
Beverly Hills, CA 90211
Get Directions
 
  • Phone: (310) 880-1695
  • Fax: (866) 509-1539
  • Email Us
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Office Hours

DayMorningAfternoon
Monday9:00am5:00pm
Tuesday3:00pm7:00pm
Wednesday9:00am5:00pm
Thursday1:00pm7:00pm
Friday8:00am3:00pm
Saturday10:00am1:00pm
SundayClosedClosed
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