Virtual Consultation

Name: Intouch Chiropractic
Price range: $

Home/Virtual Consultation

Virtual ConsultationDr. Devin Young2021-05-18T18:23:51-07:00

Digital Consultation

One of our specialists will be in touch with you soon.
Please be as accurate as possible.

Gender*
- Female
- Male
Age Range*
Where does it hurt?
- Head or Face
- Neck
- Arm or Elbow
- Wrist, Hand or Forearm
- Shoulders
- Middle Back
- Abdomen
- Lower Back
- Front of Pelvis
- Hips or Thighs
- Knees
- Ankle or Feet
*Describe what hurts the most
(use a 0-10 pain scale... 10 being the most painful)
*How long have you had this symptom?
What makes it feel better?
What makes it feel worse?
Do you have any health conditions that could be related to your symptoms?
What treatments have you tried in the past? Are you currently taking medications?
Is this due to:
- Automobile accident
- Sports injury
- Work related injury
- Unknown
Please enter your contact information. One of our health specialists will be in touch soon.
Name*
First Last
Email*
Phone*
Address*
Street Address City State ZIP Code
How Did You Hear About Our Office?*
- Referral
- NUCCA.org
- Google
- Facebook
- Other
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Be sure to click “SUBMIT” to send all your information. We will respond to you within 24 hours. If you need immediate attention, please call (619) 313-5403 and we will do our best to see you the same day.

Request an Appointment

619-313-5403

2425 Camino Del Rio South #100
San Diego, CA 92108
Chiropractor San Diego | Mission Valley
(619) 313-5403

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Digital Consultation

One of our specialists will be in touch with you soon. Please be as accurate as possible.

Please enter your contact information. One of our health specialists will be in touch soon.

One of our specialists will be in touch with you soon.
Please be as accurate as possible.