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New Patient Paperwork

Kolt Chiropractic Wellness Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

OFFICE HOURS


Monday
7:00am - 1:00pm
2:00pm - 6:00pm


Tuesday
2:00pm - 7:00pm


Wednesday
7:00am - 1:00pm
2:00pm - 6:00pm


Thursday
2:00pm - 7:00pm


Friday
7:00am - 1:00pm
2:00pm - 6:00pm


Every Other Saturday
9:00am - 12:00pm

Kolt Chiropractic Wellness Center
12217 Santa Monica Boulevard #208
Los Angeles, CA 90025
(310) 447-3540

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