Patient Forms

Here are our New Patient intake forms. Please download and print them then fill them out to expedite your first visit.

Bates_Intake_Form_FRONT

Bates_Intake_Form_BACK

Thanks,
Bates Chiropractic Team

Bates Camarillo Chiropractor
457 Carmen Dr. CamarilloCA93010 USA 
 • 805-389-9222
npbaates

FREE Comprehensive Exam

($35 if X-rays are Necessary, Normally $75)

Just Call (805) 389-9222 or Fill Out The Form below to Try Our Special Offer. Start To Feel Better, Today!

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