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  • About Our Clinic
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After Scheduling, Please Select & Complete Your New Patient Forms Below

New Patient Forms

Chiropractic Visit Forms:


Complete forms 1, 2, & 3

  1. HIPAA Guidelines & Acknowledgement
  2. Policies & Procedures - Chiropractic
  3. Patient Health Questionnaire*
  • Adult Personal Health Questionnaire
  • 7-17 Years Personal Health Questionnaire
  • 0-6 Years Personal Health Questionnaire
  • Existing Patient Re-exam Health Questionnaire


*Please note, if you are an existing patient but have a new injury or have not visited our clinic in 90 days, you must complete our "Existing Patient Re-exam" form. This helps us to monitor any changes in your health.

Nutritional Counseling Visit Forms:


Complete Forms 1, 2, & 3

  1. HIPAA Guidelines & Acknowledgement
  2. Policies & Procedures - Nutritional Counseling
  3. Nutritional Health History