13801 Roswell Ave. Ste. G

Chino, CA 91710 US

(909) 548-6868

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Online Forms

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

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Download the Free AdobeReader®

$49 Special for First-time Patients, Includes X-Rays! Redeem this offer by filling out the form below!

Office Hours

Our Regular Schedule

Monday:

9:00 am - 12:00 pm

2:00 pm - 7:00 pm

Tuesday:

9:00 am - 12:00 pm

2:00 pm - 7:00 pm

Wednesday:

9:00 am - 12:00 pm

2:00 pm - 7:00 pm

Thursday:

9:00 am - 12:00 pm

Friday:

9:00 am - 12:00 pm

2:00 pm - 7:00 pm

Saturday:

9:00 am - 12:00 pm

Closed

Sunday:

Closed

Closed

Location

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Testimonial

  • "Continues to be one of the best chiropractic care providers around. The compassion, caring, skill, and technology of this office are all top notch. The staff are all amazing- everyone is friendly, sweet, engaging and helpful! Highly recommend to help all your ailments. Dr Baek will solve
    Problems you did not even know you had!"
    Cherish H. (10/21/13)

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