Back To Balance
1358 4th Street | Santa Monica, CA 90401 | 310-
Copyright ©2009, Assault Marketing Partners, All Rights Reserved.
Each Back to Balance office is situated within a luxurious Burke Williams Spa*.
*Back To Balance is a privately operated business and, with the exception of location, is not associated with any Burke Williams Spa
Back to Balance offers our patient form(s) online so you can complete it in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
New Patient Health History Form -
This let’s us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
