Patient Forms
Save time at your appointment by downloading and completing your patient forms before your visit. Print the forms, fill them out, and bring them with you.
Patient Intake Forms
Complete your intake forms online for Red Light Therapy, Spinal Decompression, Chiropractic Adjustments, and The Joint Lab services.
Available Forms
Click the download button to save each form to your device
New Patient Intake Form
Required for all new patients. Includes medical history, contact information, and insurance details.
Health History Questionnaire
Detailed health history including past conditions, surgeries, medications, and family medical history.
HIPAA Privacy Authorization
Required authorization form for the use and disclosure of your protected health information.
Informed Consent for Treatment
Consent form acknowledging the risks and benefits of chiropractic care and treatment procedures.
Financial Policy & Agreement
Overview of our payment policies, insurance billing procedures, and patient financial responsibilities.
Auto Accident Intake Form
Additional form required for patients seeking treatment following an automobile accident.
Work Injury Intake Form
Additional form required for patients with work-related injuries or workers' compensation claims.
Need Assistance?
If you have trouble downloading or printing any forms, please contact our office and we will be happy to mail them to you or have them ready when you arrive for your appointment.
Cancellation Policy
Please understand that we have a waiting list for our practice. If you must cancel or reschedule your appointment, we respectfully request 24 hours notice. Missed appointments, or appointments cancelled within 24 hours notice, will be charged a cancellation fee.
Ready to Schedule Your Visit?
Once you've downloaded and completed your forms, give us a call or book online to schedule your appointment.