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Danville Location

801 San Ramon Valley Boulevard Ste B,

CA 94526

(925) 820-1500

Fremont Location

38069 Martha Ave, Ste 400,

CA 94536

(510) 505-0505

Online Forms

Danville Back to Health offers our patient form(s) online so they can be completed 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 - 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!

Online Form



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Locations

Danville Location


Fremont Location

Office Hours

Danville Location

Monday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Tuesday:

Closed

Wednesday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Thursday:

3:00 am-6:00 am

Friday:

8:00 am-12:00 pm

Saturday:

Closed

Sunday:

Closed

Fremont Location

Monday:

Closed

Tuesday:

7:30 am-11:00 AM

2:00 PM-6:00 pm

Wednesday:

Closed

Thursday:

7:30 am-11:00 AM

Friday:

Closed

Saturday:

Closed

Sunday:

Closed