New Patient Paperwork

Salem Chiropractic offers our patient form(s) online so they can be completed it 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 it with you to your appointment.

Click Here for New Patient Paperwork

OFFICE HOURS

Monday	9:00am - 12:30pm 3:00pm - 6:00pm
Tuesday	9:00am - 12:30pm 3:00pm - 6:00pm
Wednesday	9:00am - 12:30pm 3:00pm - 6:00pm
Thursday	9:00am - 12:30pm 3:00pm - 6:00pm
Friday	Closed
Saturday	Closed
Sunday	Closed

Salem Chiropractic
13891 Newport Avenue #290
Tustin, CA 92780
(714) 832-4010

Click Here - New Patient Special

WHAT OUR PATIENTS SAY

“I was referred to your office by a chiropractor who had much respect for your professional skills and he knew that if anyone could solve my problem, it would be Dr. Salem.”

- D.H.

“He is a very generous and giving doctor with a gift so precious, I want the world to know what a wonderful human being he is and just how much he cares if you can get up and when you do that you feel whole. I give the award of success for a healthy and vigorous life to Dr. Salem in achieving the impossible.”

- L.B.

“Dr. Salem wants you to be pain free and works very hard to make that happen.”

- P.E.

(714) 832-4010

13891 Newport Avenue #290

Tustin, CA 92780