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Location

Location:

9605 Arrow Route Ste. B

Rancho Cucamonga, CA 91730

(909) 257-7044




Rancho Cucamonga Chiropractor | New Patient Forms
New Patient Forms

To serve you better please print and fill out New Patient Forms before your initial visit. If you do not have it completed ahead of time you will need to fill it out in the office. You will see the doctor sooner by having your paper work ready! Thank you!

 

 


 



Click Here for Consent to Treat Form

Click Here for HIPPA (Health Information Privacy Act) Form page 1

Click Here for HIPPA (Health Information Privacy Act) Form page 2

Click Here for Assignment of Insurance Benefits Form

Click Here for Request to Bill Insurance Form


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ProSportsDoctor.com
(909) 257-7044

Success Stories

Natalie A | Eastvale, CA

I've been under Dr. Frank's care since 2004. I originally went in for Migraine headaches and Neck Pain. I had been on pain meds for years to basically "cover up" the symptom, rather put a band-aid over the problem.

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Newsflash

History and Examination
In order to determine what your actual problem is, the doctor will ask you various questions related to your condition. Next, a number of specialized tests will be performed to determine which tissues are affected and to what extent.