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About
Jeffrey Tirsch, D.C.
DOCTOR OF CHIROPRACTIC
818.888.6200
WOODLAND HILLS | SHERMAN OAKS
Treating patients with domestic, work related, and sports injuries
for over two decades.
818.888.6200
Patient Forms (PDF Downloads)
Confidential Patient Intake Form
Personal Injury Questionnaire
Doctor's Lien
Arbitration Agreement
Patient Hisotry Questionnaire
Acknowledgment of receipt of notice of privacy practices
Disability Claim Form
Chiropractic Informed Consent to Treat
Fee Agreement
False or Fraudulent Claim Disclaimer
Authorization for release of medical information
Advance Notice of Denied Insurance Services
Chiropractic care is the safest way to treat your pain.