Online Forms

Larsen Chiropractic & Rehabilitation Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.


New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Initial Health Status Form

Download & Print Consent for Treatment

Download & Print Office Policy Form

Download & Print Signature on File Form

Download & Print HIPPA (Health Insurance Portability Accountability Act) Form

Download & Print Additional Auto Accident Injury Forms

Sign up using the form below or call 530-885-4447 to make an appointment.

Office Hours

Our Regular Schedule

Monday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

Closed

Closed

Wednesday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

Closed

2:00 pm-6:00 pm

Friday:

7:00 am-12:00 pm

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Locations

Find us on the map

Testimonial

  • "Dr. Larsen is by far THE BEST! I started seeing him because my husband loved him and his staff. Before long I was a regular. Dr. Is so sweet and kind. He actually genuinely cares about his patients. The whole team makes you feel warm and welcome. I have recommended several people to his practice and everyone ends up loving him.

    When I started seeing Dr. Larsen, we had previously been trying for a baby for a few months with no luck. The month I started seeing him I got pregnant! He has helped me maintain a healthy pregnancy the whole way through! Go see him now!"
    T. G. Auburn, CA

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