Client Referral

You are in the CHIROFIT Attorney Portal.

Refer a new patient to us

Need something else? Return to the Attorney Portal.

Do you have a client in need of Chiropractic or Urgent Medical care?

You have come to the right place! Fill out the form below and we'll get your client taken care of. If you still need assistance, please contact us at 623.773.2000.

Referring Party Info

Patient Info

Additional Info

CHIROFIT: 623.773.2000
AZ Medical & Injury: 602.247.8630

CHIROFIT Headquarters:
1002 E McDowell Rd Suite 103
Phoenix, AZ 85006
Settlements/Other Requests:
3655 W Anthem Way
A109 #272
Anthem, AZ 85086