The West Valley San Jose Chiropractor to see - Chiropractor West Valley San Jose

Online Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.

Health History and Future

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
Download & Print Form

Pediatric Health History and Future

Same as the form above, but for kids!
Download & Print Form

Informed Consent for Chiropractic Treatment and Care

Please read and sign this form.
Download & Print Form

Privacy Practices Acknowledgment

Please read and sign this form.
Download & Print Form

Financial Guidelines

Please read and initial our financial guidelines.
Download & Print Form

Ready to make an appointment? Give our West Valley San Jose office a call today.

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. Jessica Paige | (408) 385-1849
1620 Westwood Drive, Suite D, West Valley San Jose, CA

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Dr. Jessica Asks...

What's the difference between sick care and health care?

Sick care is largely about relieving or suppressing symptoms. Health care is about improving performance. While sick care is about how you feel, health care is about how you function. Sick care is what you do to treat an obvious problem, and health care is what you do to avoid the problem and advance your well-being.

What's your plan to deal with drug-resistant 'super germs'?

Chiropractors have always been concerned with the indiscriminate use of antibiotics, accelerating the mutation of microbes that make "wonder" drugs increasingly ineffective. My strategy? Do everything possible to bolster my immune system through proper diet, rest, exercise, clean air, pure water and an optimally functioning nervous system with regular chiropractic care.