Clinica Real

New Patients


If you have already called one of our offices and already have an appointment, click on the name of the closest office to you (where you have your appointment) to print and fill out the new patient forms.

To view the forms, you will need Adobe Reader on your computer. If you don’t have it, you can download it here

To open the forms, click on the name of the office that you will be treated at, or you can right click on the link and select “Save Link As…”

Please print one set of forms for each person in the accident.

Forms for children under 18 need to be signed by a parent.

If you don’t have an appointment, please call here 602-222-9595 or send us an email to make an appointment.

New Patient Forms:

State Route 51 And Thomas Road

Mesa Drive And Southern

75th Avenue And Thomas

35th Avenue And Glendale

51st Avenue And McDowell

What is a Typical Visit?

When accidents happen it's important to find a chiropractor that is easy to access and for your convenience we have five office locations.  Our patients come from all over the County to receive chiropractic treatment at our Clinics.

Your doctor and competent staff will meet with you to discuss how to best treat your injuries. Then, a thorough interview and examination will be performed, utilizing orthopedic, neurological and chiropractic tests. With 5 locations you have convenient access to our chiropractors in Phoenix, Mesa in Arizona.