About Sport Chiro Cent
Mission

Treatment For Relief of:

Quality, Affordable Chiropractic Care
Specializing In Auto Accidents, Work and Sports Injuries

Request Appointment

Please fill out the form below and click the 'Submit' button. Your request will be send to dr Uong Office. This request form does not guarantee an appointment. If you have not heard from us within 24 hours, please contact us at (562) 424-1200.

If this is an emergency please dial 911.

1	Patient's Name	Phone Number	Patient's Email Address
2
Desired Appointment
Time Day Date
Best Time to Confirm Appointment
to (ex: 8:00am-4:00pm)
I am interested in learning more about: Headaches Neck pain Back pain Pinched Nerves Disc injuries Shoulder pain Arm/Leg Pain Numbness Muscle Slipped Carpal tunnel Sciatica
Please see our privacy and terms of use policies for information regarding security and personal information submitted through this form.