New Patient Forms

Welcome to Fleek Chiropractic! As a first time patient we have made it easy for you by offering health related forms online. Please click on the link to the forms below,* print them out and bring them to your appointment already completed. By offering you this option to print the forms in advance, you will be able to complete them at your own pace and in the comfort of your own home. Please print the forms on white paper only.


*Forms are in .pdf format. If needed, you can dowload Adobe Reader for free here.



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Fleek Chiropractic

931 Buena Vista Street, Suite 303

Duarte, CA 91010


Tel: 909.344.7199

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