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Patient Forms

To help you save time on your first visit to Ancala Chiropractic, you may print and completely fill out these intake forms and have them filled out when you arrive for your appointment or fax them in advance to (480) 661-6737. This is not required, but is offered to you to help minimize your time at the clinic. These forms are available in Adobe Reader format(.pdf)
Adult New Patient Form
Child New Patient Form (under 16)
Established Patient Update Form
New Patient - Personal Injury

Office Locations

Scottsdale/Fountain Hills Location
11259 E. Via Linda, suite 108
Scottsdale, AZ 85259
Phone (480) 661-6449

office

Desert Ridge/Phoenix Location
21050 N Tatum Blvd, suite 200
Phoenix, AZ 85050
Phone (480) 600-7307