New Patient Forms
Here you will find all the necessary paperwork for your first day visiting our office.
Feel free to print off the proper paperwork and bring it with you when you come in on your first day. This will increase the efficiency with which we can serve you. If you have any questions while filling out any of the forms, please feel free to call and our staff will assist you in any way they can. If for some reason you cannot fill the information out yourself our staff would be happy to help you on your first day.
For Your First Day Seeing The Chiropractor You Will Need:
- Medical History Page 1 and Page 2
- Financial Agreement
- HIPPA Pages 1 and Page 2
- How Did You Hear About Us?
- Informed Consent
- Notice of Privacy Practices
Additionally you may need these forms:
- Consent to Treat a Minor - if you are the parent or guardian for someone under the age of 18
- Release of Records - if you will need to have your files sent to you or another office
Physical Therapy Form