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Dr. Robert DeVincentis owns and operates a sports chiropractic clinic located next to the World Gym Fitness Center on Beach blvd near the intersection of San Pablo.

Note: All listed forms are in Adobe® Reader  Format.  If you do not have Adobe; please download and install the appropriate Adobe Reader from http://www.adobe.com/products/acrobat/readstep2.html

 

 

 

 

Once the reader is on your PC, clicking on the links below will open the form and allow you to print them to your printer.

 

Please fill them out in their entirety and bring them with you on the day of your appointment.

 

If you have any questions about these forms, please contact our office for more information.

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Patient Forms

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Patient History Form

Patient Consent Form

Notice of Privacy Practices

Acknowledgement of Privacy Notice

Assignment of Benefits