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Practice Name

Dr. G's Ultimate Health and Wellness Clinic

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Primary Location
111 N Victory Blvd
Burbank, CA 91502
Phone: (818) 558-4030
Fax: (818) 558-5030

Office Hours

DayMorningAfternoon
Monday8:00 - 12:302:30 - 8:00
Tuesday8:00 - 12:302:30 - 8:00
Wednesday8:00 - 12:302:30 - 8:00
ThursdayBy Appt.
Friday8:00 - 12:302:30 - 8:00
SaturdayBy Appt.
SundayClosed
Main Content

Dr. G's Ultimate Health and Wellness Clinic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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.

New Patient Health History Form - Required

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

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Exclusive Offer

New patients receive a Complimentary Consultation & Spinal Exam

Sign-up using the form or call us at (818) 558-4030 to take advantage of this exclusive offer.

Name: *
Email: *
Phone: *

Testimonial

For 17 years, I was misdiagnosed and prescribed painkillers, muscle relaxants, and narcotics to cope with the pain. Dr. G adjusted my spine and within a few sessions I was back playing sports and with my kids. Literally my life was changed. He did it with the Gonstead method and without even as much as a painkiller. Dr. G is a miracle worker! 

S.B. -
Burbank, CA


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Request an Appointment

We will do our best to accommodate your busy schedule. Request an appointment today!

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Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Contact

Dr. G's Ultimate Health and Wellness Clinic
111 N Victory Blvd
Burbank, CA 91502
Get Directions
 
  • Phone: (818) 558-4030
  • Fax: (818) 558-5030
  • Email Us
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Office Hours

DayMorningAfternoon
Monday8:00 - 12:302:30 - 8:00
Tuesday8:00 - 12:302:30 - 8:00
Wednesday8:00 - 12:302:30 - 8:00
ThursdayBy Appt.
Friday8:00 - 12:302:30 - 8:00
SaturdayBy Appt.
SundayClosed
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