We Love New Patients!
Our doctors and staff are committed to running on time and not having patients wait. One of the ways we can ensure that you are seen at your scheduled appointment time, is to have you arrive....prepared. Thank you for taking the time to download and fill out the appropriate paperwork in advance!
Chiropractic New Patient
Download and save our new patient intake to your computer
New Patient Intake - works with PC or Mac
Fill out all editable sections and then save to your computer
Email your finished document to or bring in 10min prior to your appointment time
We tend to have wait lists and we believe that our time, as well as your time, is vauable.
PLEASE KEEP IN MIND THAT WE HAVE A 24 HOUR CANCELLATION POLICY OF $50 FOR NEW PATIENTS.
Pediatric New Patient, Hormone, Personal Injury, Detoxification
Please download, fill out, and bring in 10min prior to your appointment time or email your finished document to firstname.lastname@example.org
New Patient Pediatric Intake - for newborns to under 5 years
Youth Intake - for ages 6-12 years old
Women's Health Questionnaire - for hormone consults only
Personal Injury - for motor vehicle accident
Metabolic Assessment Form - for lab consults only
Detoxification Questionnaire - for cleanse consults only