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Dr. Ruby Kevala, DC, DACNB., Chiropractic Neurologist

Call (805) 650-0495

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Patient Forms

Click here to fill out and submit your New Patient Forms:

https://www.mychirotouch.com/patientintake/?clientid=PHC0005

 

Please download, print and complete this form if you have records or reports that we can obtain from another provider:

Authorization to Release Medical Information

Everyone: Print this handy auto accident form and keep it in your glove box in case you are in an accident:

Car Glove Box Form

 

 

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Hours & Info

4125 Market Street Suite 6
Ventura CA 93003
1-805-650-0495
Monday 9am - 1pm, 2pm - 6pm
Tuesday 2pm - 6pm
Wednesday 9am - 1pm, 2pm - 6pm
Thursday 9am - 1pm, 2pm - 6pm

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  • Home
  • Treatment
    • FAQS
    • Laser Therapy
    • Scar Tissue and Adhesions
    • Back Pain Treatment Basics
  • Specific Conditions
    • Vertigo and Dizziness
    • Migraines and Headaches
    • Peripheral Neuropathy Treatment
    • Low Back Pain Answers
    • Neck Pain – A Logical Approach
    • Fibromyalgia
    • Metabolic Treatment
  • Patient Forms
  • Testimonials
  • About
  • Articles
  • Contact Us

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