New patients receive 15% OFF first visit.

Sign Up Now using the form or call us at 408-416-3931 to take advantage of this exclusive offer.

Online Forms

Key Chiropractic & Wellness Centers 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 Practice Member Intake Forms

Please fill out online and submit form.

Fill out Form

Auto Accident Intake Forms

Please download and print all forms below and bring them to our office on your first visit.

Form 1 Download

Form 2 Download

Form 3 Download