Bayshore Family Chiropractic CenterChiropractic Office of Dr. Timothy Jameson and Dr. Laurie Gossett Jameson |
Decrease the time spent in our office on your initial visit by printing our forms ahead of time! You will need to print out the group of three forms for EACH family member beginning care. To print these forms, click on the appropriate form and it will open in a new window. With the form in the new window, select "File" and then "Print".
For patients 13 years and older, there are three forms to fill out:
The following form is available for you, but does not need to be filled out. It is used in combination with the HIPAA Form.
For children 12 years and under, there are also three forms to complete:
If you were involved in a car accident fill out these following two forms for each person in the auto IN ADDITION to the three forms above. (If you had children under 12 in the auto, fill out the pediatric forms above as well).
22179 Redwood Road. Castro Valley, CA 94546 Phone (510)582-5454 FAX (510)582-0937
email:chiro4u@aol.com
Office Hours
Monday, Tuesday, Thursday 9:15am-12:30pm and 3pm-6:30pm
Saturdays 8:30am-10:30am
Closed Wednesday, Friday, and Sunday.