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Patient Forms

Please download and print the forms you need to fill out and bring to your appointment. If you have any trouble filling out any information just do the best you can, we are happy to help you at your appointment. Arrive early to allow for any time needed to complete your paperwork needed. You will need access to a printer to print the forms.

GENERAL FORMS

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REQUEST FOR AUTHORIZATION

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The Human Engine Clinic
A Gringeri Chiropractic Corporation

3461 Picadilly Drive

San Jose, CA 95118 USA

408-984-7444

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NEW EXPANDED Office Hours:

Mon: 11am – 1:00pm and 3:30pm - 6pm

Tues: 11am – 1:00pm and 3:30pm - 6pm

Wed: 11am – 1:00pm and 3:30pm - 6pm 

Thurs: Closed

Fri: 11am – 1:00pm and 3:30pm - 6pm

Sat / Sun: Closed

Let's Work Together!

© Copyright 2024. The Human Engine Clinic, a Gringeri Chiropractic Corporation. All content included on this web site including text, graphics, images, video clips and audio clips, is the property of The Human Engine Clinic, a Gringeri Chiropractic Corporation or our associates, and protected by U.S. and international copyright laws. You may not copy, reproduce, distribute, publish, display, perform, modify, create derivative works, transmit, or in any other way exploit any part of copyrighted material without permission from The Human Engine Clinic, A Gringeri Chiropractic Corporation.

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The content presented on this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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