New Patient Paperwork

Health in Balance offers our patient form(s) online so they can be completed in the convenience of your own home or office.

Please identify the correct paperwork for you, download it, and fill it out in detail so we can better understand your current symptoms, concerns, and health goals. This will enable the doctor to spend more time with you one on one, not in asking basic questions.  Bring in your completed form to our office on your first visit.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.


WE BEGIN BY LISTENING to your desires and needs as an individual. What do you most want to change and improve your health and body?

After your personalized examination, we DETERMINE THE CAUSES which may be creating your symptoms and we develop a working diagnosis that may include x-rays and/or MRIs.

Then, as a doctor-patient team, we DEVELOP A STRATEGY to reduce your pain and correct the causes of the imbalance. It is important that you are committed to and comfortable with the trial of therapy that we choose together.

The next step is to TAKE ACTION. Your will to succeed is the key. If you follow through with the process and are consistent, you will open the door to a successful healing.

Finally, we MONITOR the results of your progress and alter the strategy as needed.

When you come into our office you'll notice some similarities to other doctor's offices. We hope you will also notice we've made an extra special effort to create an attractive, relaxed, and friendly atmosphere for you. You'll be asked to fill out important paperwork that tells us exactly the nature of any current health problems you may have now. This is your health history questionnaire. We are particularly interested in how you feel we may best care for you. Regardless of whether you're here because you have some pain or condition that needs immediate attention or whether you've come in to discuss prevention and maintenance, we have options that can help you.

The doctor or a member of our staff will introduce themselves and, when possible, give you a quick tour of the office, and then your consultation will begin. We start by listening. We ask a lot of questions. Please be as thorough and detailed as possible concerning any past illnesses and accidents. It has been found that the most important information for a successful diagnosis comes from the health history.

    One of our team members will review your New Patient Form and meet with you for a personal consultation to listen to both your symptoms and goals. We will determine if moving forward with an examination is the best option for you.
    Our doctors will do an in-depth examination to determine your diagnosis. The process differs depending on your symptoms. Options are as follows...


  • Chiropractic Exam:
    The chiropractic exam includes pain, postural, and range of motion analysis as well as an integrative exam to determine the biochemical, emotional, and electromagnetic components of your health concerns. This comprehensive approach allows us to explore a wide range of possible causes of your symptoms in order provide a thorough diagnosis.
  • Medical Examination:
    Our Nurse Practitioner will meet with you for a comprehensive medical examination. She will take a further look at your health history and your current conditions in order to determine your initial diagnosis and see if our methods of health care are appropriate for your condition.
    • Then, if warranted, due to the severity of pain and initial diagnosis, x-rays will be taken.
  • Low dose X-ray: (Possible)
    If warranted, due to the severity of pain and initial diagnosis, x-rays will be taken. This is determined on a case by case basis. We use low-dose radiology equipment for your protection.


  • Integrative Exam:
    One of our doctors will meet with you to go over your symptoms and Metabolic Assessment Form. They will take a look at all systems of your body and the stressors in each. They will provide you with recommendations for moving forward which could include further testing, nutritional programs or cleanses, supplementation, etc.


  • Mind-Body Stress Evaluation:
    One of our doctors will go over a stress intake form with you and determine the state of your mind-body health. They will do an initial N.E.T. session with you.
    If further testing is needed, our doctors may refer you to receive an MRI, CT-scan, blood test, stool test, or other laboratory tests.


After our team of professionals has met to review your case, discuss your diagnosis, and collaborate on the best treatment options for you, we will meet with you to review everything.


For your Report of Findings, one of our doctors will:

  • Go over the results of your exam with you.
  • Show you your x-rays (if taken).
  • Explain your diagnosis.


The doctor will then discuss your treatment options for moving forward and helping you achieve your goals the most efficiently and cost-effectively. We can provide you with Pain Relief Care and Corrective Care Plans. We invite your spouse or those involved in your health care decisions to join you.


If you clearly understand your case and diagnosis and are comfortable with the treatment recommendations, treatment will begin and continue as long as you keep making progress or until your health goals have been met.


7:00am - 2:00pm

12:00pm - 6:00pm

7:00am - 2:00pm

12:00pm - 6:00pm

7:00am - 2:00pm

8:00am - 12:00pm
Massage Only

Health in Balance

330 Park Avenue #3
Laguna Beach, CA 92651
Phone: (949) 497-2553
Fax: (949) 497-5273