New Patient Paperwork

Your Health In Motion offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

OFFICE HOURS


Monday
9:00am - 5:00pm


Tuesday
9:00am - 5:00pm


Wednesday
9:00am - 5:00pm


Thursday
9:00am - 5:00pm


Friday
9:00am - 5:00pm


Saturday
Closed

Your Health In Motion - Pasadena
221 East Walnut Street #275
Pasadena, CA 91101
(626) 765-0555


Your Health In Motion - Claremont
456 West San Jose Avenue
Suite A
Claremont, CA 91711
(909) 257-7598

HIGHLY RECOMMEND

Dr. Setareh has a wealth of knowledge in natural medicine with a magical touch. Her blend of clinical nutrition, neurology and sports rehabilitation makes her a valuable resource in the community for health and wellness. I would highly recommend this doctor for anyone that’s looking for answers and is serious about getting “well”.

VERY PROFESSIONAL

After countless days of unsatisfactory visits to medical offices, I ended up at Your Health in Motion and I am so glad that I did! Dr. Derakhshan is as good as they come! She is very personable and professional at every level. From the moment I stepped into the office I felt a sincere warmth from the environment.

GREAT CHIROPRACTOR

Dr. Derakhshan’s ability to explain to me in detail, what is causing my specific ailments has helped me more ware of my body and allowed me to be more involved with my own healing in a proactive way. She is also the sweetest doctor I have ever had.

 

OFFICE HOURS

We offer a variety of office hours in order to meet the needs of our patients. CLICK HERE to view our hours of operation.

CONTACT US

Your Health In Motion - Pasadena
221 East Walnut Street #275
Pasadena, CA 91101

(626) 765-0555

FOLLOW US

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