(619) 291-5433 info@lifewithincenter.com
San Diego Chiropractor
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New Patient Intake Forms

Please Bring A Completed Form For Each New Patient.

Please Call (619) 291-5433 With Any Questions

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Adult Patient Intake Form

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Child Patient Intake Form

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(619) 291-5433
info@lifewithincenter.com

1452 University Ave.
San Diego, CA 92103

Office Hours

Monday – Thursday 7AM to 6:30PM
Friday 7AM to 2PM

(Call for specific adjusting hours)

New Patient Exam – Just $39

Take an important first step and schedule an exam with our family chiropractor, Dr. Marc Gottlieb.

Learn More / Schedule

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