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MAASSTRAAT 103

Amsterdam, North Holland 1078 HH The Netherlands

020-673 1800

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Online Forms

Health4Life Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or 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 



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Sign up using the form below or call 020-673 1800 to make an appointment.

Office Hours

Our Regular Schedule

Monday:

8:30 am-5:30 pm

Tuesday:

8:30 am-5:30 pm

Wednesday:

8:30 am-5:30 pm

Thursday:

8:30 am-5:30 pm

Friday:

8:30 am-5:30 pm

Saturday:

9:00 am-1:00 pm

Sunday:

Closed

Location

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Testimonial

  • "Excellent Doctor highly recommended, known him more than 15 years,, passionate and caring."
    Afshin I.

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