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Practice Name

Prima Chiropractic Group

Social Media
Primary Location
13071 Brookhurst St., Suite #130
Garden Grove, CA 92843
Phone: (714) 638-7410
Fax: (714) 638-7420

Office Hours

DayMorningAfternoon
Monday9:00 - 1:003:00 - 7:00
Tuesday9:00 - 1:00On-Call
Wednesday9:00 - 1:003:00 - 7:00
ThursdayOn Call
Friday9:00 - 1:003:00 - 7:00
Saturday9:00 - 11:00Every Other
SundayOn CallOn Call
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In order to provide you the best possible wellness care, please complete this form

Patient Data

Mailing Address

Current Complaints

Nature of Injury

Insurance Information

*If an auto accident, please provide:

Signatures

Name of the Insured _____________________________________________

I understand and agree that health/accident insurance policies are an arrangement between an insurance carrier and myself. I understand and agree that all services rendered to me and charged are my personal responsibility for timely payment. I understand that if I suspend or terminate my care/treatment, any fees for professional services rendered to me will be immediately due and payable.

Patient's signature _______________________________________________

Date ____________________

Spouse's or guardian's signature __________________________________

Date ____________________

Medical History

Have you ever:

Family History

Habits

Have you ever suffered from:

Sign up using the form below or call (714) 638-7410 to make an appointment

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Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Testimonial

Dr Yun and staff are wonderful. He is helping my husband and I.

Francie M.
Garden Grove, CA

Office Hours

DayMorningAfternoon
Monday9:00 - 1:003:00 - 7:00
Tuesday9:00 - 1:00On-Call
Wednesday9:00 - 1:003:00 - 7:00
ThursdayOn Call
Friday9:00 - 1:003:00 - 7:00
Saturday9:00 - 11:00Every Other
SundayOn CallOn Call
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00 - 1:00 9:00 - 1:00 9:00 - 1:00 On Call 9:00 - 1:00 9:00 - 11:00 On Call
3:00 - 7:00 On-Call 3:00 - 7:00 3:00 - 7:00 Every Other On Call

Contact

  • 13071 Brookhurst St., Suite #130 Garden Grove, CA 92843
  • (714) 638-7410
  • Get Directions
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