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Patient Forms
Download our user-friendly electronic PDF forms that can be easily filled out on your computer, laptop, smartphone or tablet. Our forms can be returned via email, or can be printed and handed in upon your visit!
Patient Intake Form
Our Patient Intake Form gives us a complete picture of your pain points, past medical history of injuries, surgeries, ailments or conditions, and shows us where your problems are.
Patient Information Form
Our Patient Information Form gives us all of your personal information including name, address, phone numbers, health insurance and emergency contacts. This is essential for onboarding our new patients.
Patient Responsibility Form
Our Patient Responsibility Form is an acknowledgement form that confirms the patient has full understanding of their insurance benefits and coverage (if applicable), as well as payment for services.
Informed Consent Form
Our Informed Consent Form is an acknowledgement form that confirms the patient has full understanding of Chiropractic adjustments, treatments and care procedures as they enter into our programs.
