Online Paperwork

We offer our paperwork online so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.


Patient Intake Forms

This lets us know what’s happened, but perhaps more important, where do you want to take your health?
  Download & Print Form




Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

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Dr. Charles Bissell | Phone: (805) 565-5252
1470 E. Valley Road, Ste M, Santa Barbara, CA

Dr. Bissell Asks some important questions of interest to Santa Barbara residents - Chiropractor Santa Barbara Dr. Bissell Asks...

Where do most Santa Barbara residents get their first subluxation?
Being born in a hospital is a common source of subluxation. Trauma from forceps delivery has been replaced with drugs, vacuum extraction, Cesarean section and births that are "scheduled" to fit the workweek routines of Ob-Gyns. That's why we recommend a chiropractic checkup for every Santa Barbara newborn.
What's the difference between a "good" drug and a "bad" drug?
As a chiropractor, I see the use of many drugs (legal or illegal) as merely symptom treating. Worse, virtually every drug produces unwanted effects. The effects of chiropractic are largely positive effects. If you're a Santa Barbara parent, consider carefully before giving your child a cough medication, cold remedy or pain reliever so this sort of question doesn't arise in the first place.

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