Patient Forms

Schedule Today

We invite you to complete our patient forms before your first appointment with Dr. Meir Tako at The Chiropractic Way. This will provide our team with the information we need to provide you with personalized chiropractic care. If you need assistance in completing your forms or if you have any other questions, please feel free to contact our office in Sunnyvale, California, at 408-733-2223. Our chiropractor and team look forward to caring for your needs.

Chiropractic Forms

CHIROPRACTIC INFORMED CONSENT TO TREAT

CONSULT FORM

Insurance Information

Personal and Family Health History Form

Nutrition Forms

Food Journal
New Patient Information Form
Permission and Authorization Form Regarding
symptom survey

Schedule an
appointment

1633 Hollenbeck Avenue
Sunnyvale, CA 94087

Monday 10am-6:30pm Tuesday 10 am-2pm
Wednesday 10am-6:30pm Thursday 7am- 1:30pm
Friday by appointment only (please call in first)

REquest consultation