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Practice Name

Homestead Chiropractic Group

Primary Location
21020 Homestead Rd. Suite 1
Cupertino, CA 95014
Phone: 408-733-3760
Main Content

Homestead Chiropractic Group offers our patient form(s) online so they can be completed 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 - 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 office. You can print it out and bring it in to our office 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


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3D Spine Simulator


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Testimonial

This is the friendliest office I have ever been in. Dr. Lund is so caring and remembers everything about me, both personal and physical..Its always a joy to come to the office.

Mary S. -


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Our services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Contact

Homestead Chiropractic Group
21020 Homestead Rd. Suite 1
Cupertino, CA 95014
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