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QUESTIONS? (262) 598-0918
  • About Us
  • Chiropractic
  • Nutrition
  • Remedy Testing
  • Laser Therapy

After Scheduling, Please Select & Complete Your New Patient Forms Below

New Patient Forms

Chiropractic Visit Forms:


Click the appropriate form to complete:

  1. Adult Health History Form
  2. 7-17 Years Health History Form
  3. 0-6 Years Health History Form
  4. 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