Online Paperwork

We offer our paperwork online so you can complete it in the convenience of your own home. 



Intake Forms

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

 Download & Print Form 



Pediatric History Forms

 Download & Print Form



Automobile Accident

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.




Dr. Crystal Galvan, 310 Pine Ave., Ste. B, Santa Barbara, CA | (805) 687-8900

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Dr. Crystal Asks some important questions of interest to Santa Barbara residents - Chiropractor Santa Barbara Dr. Crystal Asks...

Could a chiropractor put an end to bedwetting?
If bladder control seems elusive, consider chiropractic. If spinal bones are interfering with nerves that control your child's bladder, plastic sheets, alarms and other methods simply add to the embarrassment. Santa Barbara parents are often amazed (and relieved) that chiropractic can be so helpful. Learn more.
What's the difference between a "good" drug and a "bad" drug?
As a chiropractor, I see the use of many drugs (legal or illegal) as merely symptom treating. Worse, virtually every drug produces unwanted effects. The effects of chiropractic are largely positive effects. If you're a Santa Barbara parent, consider carefully before giving your child a cough medication, cold remedy or pain reliever so this sort of question doesn't arise in the first place.