Schedule Now

 

Patient Intake Forms

Download, print and fill out our paperwork in the comfort of your home.

Click the download button below to download our paperwork as a PDF Document and simply bring them with you to your next visit with Dr. Long.

Required

Adobe Reader Required

In order to view and print our intake forms you must have Adode Reader. If you don't have Adobe Reader you can click the "Get Adobe Reader Button" to download and install it from the official adobe website.

It's free, safe, and takes less than 2 minutes.

Have A Question About Being a New Patient? 916-933-4507

  • Intake Forms

    Download and Print our intake forms.

  • My First Visit

    What to expect at your first visit.

  • Payment Options

    Affordable care for everyone.

  • Gallery

    Photos of Town Center Family Chiropractic

Jenny

“I think of Chiropractic care as my fountain of youth. It greases my joints, mitigates old injuries, dulls my pains and lets me act much younger than my age, which is important after 60.”

Michael M., Software Engineer and Power Lifter

“When I began care my back felt compressed and I had frequent back discomfort. I had seen other Chiropractors before but I was looking for a more thorough and scientific approach. I find Dr. Steve to very knowledgeable and he has a good touch. I would recommend Dr. Steve to everyone, I have seen many chiropractors over the last 25 years and Dr. Steve is the best I have ever seen. I now have less pain, more stability and more strength. I have had an excellent overall experience at Town Center Family Chiropractic.”

Dr. David


“When you’re feeling good don’t push it, you’ll need to save that energy. When you’re feeling bad don’t worry about it, it will eventually go away.”- or something like that. Those words you gave me before the race ran through my head about a dozen times. There are two people that I can honestly say that if I hadn’t have had their help I wouldn’t have crossed that finish line. You are one of them. This is absolutely no exaggeration. I can’t thank you enough for the encouraging words and all the hours of help. You will forever be a big part of my Ironman experience. Thank you Dr. Steve.”

Donna K.

“Before seeing Dr. Steve I had excruciating pain in my lower back and neck. Every time I went to reach for something my neck and back muscles would tense up so much a shot of pain would make me stop. I had tried massages, stretches, icy hot, Motrin, ice, heating pads, just about everything with no luck. I knew the problem was deeper rooted so I tried chiropractic care. I committed to my care with Dr. Steve because I appreciated his open, honest, and practical approach to help me heal my pain. I am now pain free and I feel great! I recommend seeing Dr. Steve to everyone I speak with that complains of any ailment.”

Bo

“I had severe sciatic pain from my hip all the way down to my foot. I didn’t want to see a chiropractor but my husband convinced me to give it a try and I am so glad that I did. It made all the difference between living with severe daily pain and then improved pain free living. I can now walk upright and sleep better. I recommend Dr. Steve’s office to everybody I know.”

Jamie J.

“Before seeing Dr. Steve I was in pain on a daily basis. I couldn’t run and walking even hurt due to a fall 4 yrs prior. I was 6 months pregnant and unable to walk without pain when I decided to finally seek care. I choose chiropractic because I like that appointments are quick yet still soothing and relaxing. Chiropractic care made being pregnant a comfortable and enjoyable experience. With Dr. Steve’s help I can now walk and lay on my back without pain. I wish I came to Dr. Steve’s office several years ago.”

Brad L.

“I was experiencing tight muscles and a tingling sensation between my shoulder and spine. I could not stand more than a few minutes without it hurting. The chronic discomfort and proven results led me to chiropractic care. Thanks to Dr. Steve my issue is now a non-issue and my life is back to normal. I would recommend Dr. Steve to anyone with chronic pain or discomfort.”

Sue B.

“I had severe scoliosis resulting in neck and knee joint problems. I’ve seen a chiropractor since I was 13 and I can recognize good care when I see it. Dr. Steve is always able to find the hurting area even if I don’t tell him where it is. I love that his office treats you holistically. People just don’t realize how adjustments affect everything else going on. Chiropractic care has had a huge impact on my life. I really don’t function well without once a month adjustments. It helps me walk better, sleep better, and exist better! TCFC has uncompromising care, professionalism, privacy, humor, the newest techniques, and skilled competence. I recommend Dr. Steve’s office to children and adults. It’s not always an instant fix, but a process you can count on like getting dental checkups.”

Pat D.

“Before seeing Dr. Steve I had a locked left shoulder, extreme pain in my upper left arm, and tension in my neck and both shoulders. I had low energy and could not sleep on my left shoulder. I decided to receive care from Dr. Steve after bringing my grandson to his appointment. I was very impressed with how caring Dr. Steve was and how he took time with each patient. Since seeing Dr. Steve I feel 100% better and have more energy to do housework and my job. Chiropractic care has changed my lifestyle including my diet, exercise, and positive attitude. I recommend TCFC to anyone who has pain or a subluxation.”

Dudley L.

“I was skeptical about chiropractic care at first. After 2+ years of regular treatment I rarely have the chronic back pain that I thought was a way of life.”

Terri R.

I had such bad shoulder pain I couldn’t sleep or work. I had always feared chiropractic and “popping” things back into place. Although I came in for my shoulder, after the body analysis I realized what the MRI’s didn’t tell me. My hip was out of alignment from a car accident 5+ years before. Thanks to Dr. Steve I feel better and have a bounce in my step. I am now more aware of my body and its limitations. With my new knowledge I manage my pain better and take better care of my health. My friends have even noticed my improved energy and attitude after adjustments. I love coming to see Dr. Steve and I have been recommending him to everyone.

Mike Kielty

"Before seeing Dr. Steve I hurt everywhere and could no longer run. I had tried everything before seeking chiropractic care, as I was a chiropractic nonbeliever. Dr. Steve’s athletic background and knowledge of the mechanics of running appealed to me. After being under Dr. Steve’s care I am now 100% better and can run again. My experience at his office has been all positive and I would recommend chiropractic care to everybody!"

Christine L.

“Before seeing Dr. Steve I was in pain, tired, and felt out of balance. I decided to seek chiropractic care after meeting Dr. Steve. I have had chiropractic care before as its holistic approach has always appealed to me. Dr. Steve’s care has made a huge difference in my life and my bi-weekly check-ins keep me grounded and connected with my mind and body. I am now more conscious of how I hold myself and I know how to position my body so as not to illicit pain. Dr. Steve is always professional, encouraging, and never condescending. I recommend his office to everyone.”

Tristan L.

Hear from some of our HAPPY patients….
“Before seeing Dr. Steve I experienced pain from exercise and daily living activities such as picking up my kids and carrying groceries. I decided to seek chiropractic help because I wanted more frequent care from someone who would not just prescribe drugs as an easy answer. Since seeing Dr. Steve, I have decreased pain and discomfort, and I recover much faster from injuries. I enjoy having a preventative health care provider who knows my lifestyle and cares about my future well-being. I will continue to be under Dr. Steve’s care as part of my overall healthcare and preventative maintenance. I recommend Town Center Family Chiropractic to anyone who is looking to stop current pain, prevent future pain, and invest in their overall health.”

© 2021 ChiroBuilt. All Rights Reserved.