Online Forms

Want to save 20 minutes on your first visit?

We offer our "paperfun" online so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them. Please print and fill out each form.

Patient Health History - This let's us know what's happened, but perhaps more important, where do you want to take your health?

Financial Policy- We want you to know about our reasonable financial policies and payment options.

Informed Consent to Chiropractic Care and X-rays- X-rays are a vital diagnostic tool in determining the exact condition of your spine and how we can most efficiently help you. We need your signed consent before taking x-rays.

Notice of Privacy Practices - This notice describes how health information about you can be used and disclosed and how you can get access to this information, as mandated by State and Federal regulations (HIPAA).


"Paperfun" Forms

 Download & Print Forms

 


 

Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

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