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