The Westlake Village Chiropractor to see - Chiropractor Westlake Village

New Patient Forms

We offer our paperwork on line 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



Personal Injury Questionnaire

If your health issue is the result of a car accident, we need some additional information.
 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.



Schroeder Center for Healthy Living, | (818) 889-5572
31225 La Baya Dr #206, Westlake Village, CA
Westlake Village families enjoy chiropractic and its amazing benefits.
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Dr. Terry Asks some important questions of interest to Westlake Village residents - Chiropractor Westlake Village Dr. Terry Asks...

Would you rather feel good or be healthy?
Ask most people in Westlake Village and they want to feel good. Careful! Would you take medicine that makes you feel good, rather than vomit to expel improperly prepared food? Every chiropractic patient knows that you can't measure your health by how you feel. True health is when your body works as it should.
What's the difference between maintenance, prevention and wellness?
Maintenance chiropractic care is an attempt to keep a dynamic, ever-changing and adapting organism (you) in a static relationship with your environment. Preventive chiropractic care is mostly about early detection. Wellness chiropractic care is an attempt to optimize our health and be all that you were designed to be.