Patient Forms


Balance Chiropractic Health Center offers online patient forms online so they can be completed in the convenience of your home or office before you arrive to the office. Download forms that will be relevant to your visit.

New Patient Intake - click here to download!



Consent to Treat - click here to download!



HIPAA Privacy Notice- click here to download!

Ask us

Feel free to email us regarding any scheduling or general questions!

Email Address
Follow Us

Eva Whitmore, D.C.
123 Bay Place
Suite 3
Oakland, CA 94610