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Fairway Chiropractic & Rehab

(909) 598-2304

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Online Forms

Fairway Chiropractic & Rehab - Dr. Nimesh Ladhawala offers our patient form(s) online so you can complete 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.


Forms

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

New Patient Health History

New Patient Health History 2

Auto Accidents

Workers' Compensation 



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Office Hours

Our Regular Schedule

Fairway Chiropractic & Rehab

Monday:

9:00am - 1:00pm

3:00pm - 7:00pm

Tuesday:

Closed

3:00pm - 7:00pm

Wednesday:

9:00am - 1:00pm

3:00pm - 7:00pm

Thursday:

Closed

3:00pm - 7:00pm

Friday:

9:00am - 1:00pm

3:00pm - 7:00pm

Saturday:

9:00am - 1:00pm

Closed

Sunday:

Closed

Location

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