Union Square Chiropractic

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drbuettner@unionsquarechiro.com

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Forms

Home   |   Forms

New Patient Intake

(40.6 KB)

Consent to Services

(14.6 KB)

Neck (Cervical) Index

(238 KB)

Low Back (Lumbar) Index

(261 KB)

Auto Accident Questionnaire

(885 KB)

Auto Accident Claim Form

(57.4 KB)

Union Square Chiropractic


For more than 40 years, Dr. Jacalyn Buettner has been providing chiropractic and wellness care to patients in San Francisco and beyond. Our office is passionate about chiropractic, nutrition, and rehabilitation, with an emphasis on helping patients improve mobility, function, and overall well-being.

Dr. Buettner’s mission is “serving people.” She has traveled internationally providing chiropractic care to underserved communities through humanitarian and service missions in India, Peru, Tonga, Colombia, Jordan, and most recently, Cuba in 2025.

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Union Square Chiropractic