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Family & Sports Health

Dr. Dominique M. Scott

Chiropractor ~ Manhattan Beach, CA

~ over 18 years in practice and over 40 years of family experience

(310) 376- LIFE (5433)

New Patient Forms

Please open, print, and fill out the new patient history form by clicking on the appropriate link below. Bring it with you to your first visit along with your driver's license and insurance cards if applicable. (If you don't have a printer at home, we do have copies in our office that you can complete before your appointment.)

We look forward to seeing you at your first appointment! 

Adult New Patient Intake Form

Pediatric New Patient Intake Form: Ages 0-7 Years


To learn more about what to expect at your first visit, click on the link below: 

"First Visit Expectations"