New Patient Paperwork

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

  • 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.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

OFFICE HOURS


Monday
10:00am - 4:00pm


Tuesday
8:00am - 3:30pm


Wednesday
11:30am - 6:30pm


Thursday
8:00am - 3:30pm


Friday
11:30am - 6:30pm


Saturday
9:00am - 11:00am
Every Other - Call For Availability

Pazera Chiropractic:
Brian Pazera, DC
1124 N Hollywood Way Suite A
Burbank, CA 91505
(818) 793-3783