(If this is your first visit to Santiago Chiropractic Associates or if your last appointment was more than three years ago*):
(If your last appointment with Santiago Chiropractic Associates was more than 3 months ago*):
(If your complaint is related to an automobile accident and you choose to go through an auto insurance please fill out form below as well as the new patient form)
Note: Please bring your current auto insurance, registration, claim number, and health insurance
*Please remember to bring with you your most current health insurance information.
*Please use our online form system, if you are unable to fill out our forms online using the link above, you may also print the appropriate documents and bring them to the office.