Chiropractic New Patient Forms
We are happy you have decided to come see us for care! If you are NOT seeing us for an auto accident or work injury claim, please have the following documents completed for your first visit:
| Treatment_Application_2023.pdf |
| Past_Medical_History_2023.pdf |
| Term_of_Acceptance_2023.pdf |
Auto Accident New Patient Forms
If you have been involved in an auto accident, please complete the following documents.
| Auto_Accident_History_2023.pdf |
| Treatment_Application_2023.pdf |
| Past_Medical_History_2023.pdf |
| Auto_Accident_Information_2023.pdf |
| Term_of_Acceptance_2023.pdf |
Work Injury New Patient Forms
If you have been hurt on the job, the main form you will need to complete cannot be uploaded to the website so you will need to fill that out before your first visit. However, these are the other forms you will need for your first visit:
| Treatment_Application_2023.pdf |
| Past_Medical_History_2023.pdf |
| Term_of_Acceptance_2023.pdf |
Massage New Patient Forms
Please complete the following documents if you are coming in for your initial massage appointment.
| Massage_Intake_Form_2023.pdf |
| Massage_Policy_2023.pdf |
For Teens and Kids!
Yes, we care for children and teenagers too! For teens and children ages six and older, please complete all of the forms listed under "New Patient Forms" except the "Past Medical History" (unless your teen has a significant medical history that we should know about). For children under the age of five, please complete the following forms:
| Pediatric_History_2023.pdf |
