If you need a more accessible version of this website, click this button on the right.
Switch to Accessible Site
You are using an outdated browser. Please
upgrade your browser to improve your experience.
Dr. Modesti at Serenity Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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 - Required
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
Download & Print Form
Member Wellness Registration Form - Optional
This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or
Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!
Download & Print Form
Download the Free AdobeReader®
Meet the Chiropractor
Meet Dr. Modesti
Dr. Modesti has been freeing people from pain since 1980 in her clinic in Los Altos, CA. As a Chiropractor with experience, our professionals are committed to promoting the health and well being of her patients.
Mandala Salad. The Guide to Eating Well!
Because both what we eat and how are important, Mandala Salad offers simple steps to enhance the experience of eating along with delicious gluten-free recipes that all can enjoy. As an inspirational guide-cookbook-journal, you can use Mandala Salad to lead you beyond the kitchen into a journey of self-discovery.
Day Morning Afternoon
Mon day 11-1 2:30 - 7
Tues day Closed 2-7
Wed nesday 11-1 2:30 - 7
Thurs day Closed 2-7
Fri day 11-1 2:30 - 7
Sat urday Closed Closed
Sun day Closed Closed
The Expo is the premier gluten and allergen free event in the US. Whether you are looking for specialty products that taste great or trying to learn how to cook and bake to meet your dietary needs, the Expo is the place to be!
Services We strive to provide complete care for our patients. Learn more about all the services we provide.
Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today!
Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.
Copyright ©2018 ChiroMatrix.
All Rights Reserved.
Chiropractic Website By ChiroMatrix