Online Forms

Gallardo Chiropractic offers our patient forms online so you can take your time and fill them out in the comfort of your home or office.

  • You will need Adobe Reader® installed. Click here to download.
  • Download the forms, fill them out, and bring them with you to your appointment.

REQUIRED: New Patient health history form.

This form is to let us know all about you. You’ll answer questions about what brings you to our office and the history of your past and current state of your health. It’s important to fill out this form honestly and to the best of your knowledge as it will help the doctor come up with the best treatment plan for you. 

 link for form will be here

contact info


(408) 258-3200

Office Address

135 N Jackson Ave #201, San Jose, CA 95116

Office Hours

Monday       8 a.m. – noon   3:00 p.m. – 6 p.m.

Tuesday       8 a.m. – noon

Wednesday  8 a.m. – noon   3:00 p.m. – 6 p.m.

Thursday      8 a.m. – noon

Friday            8 a.m. – noon   3:00 p.m. – 6 p.m.