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New Patient Forms

Step 1: Select Correct Forms

Determine which forms apply to you: Accident Treatment or General Care.

Step 2: Download PDF File

To download forms on a PC: Right-click link, select “Save Target/Link As…
To download forms on a Mac: Hold Control, click on link, select “Download Linked File As…”

Step 3: Open PDF and Fill in Fields

Open the downloaded file using a PDF viewer such as Acrobat Reader. To fill in forms use the TAB key to scroll through each field, use the SPACE key to select a checkbox and the LEFT-RIGHT/UP-DOWN buttons to scroll through checkbox items.

Step 4: Print + Sign

Please print the completed forms, sign all of the designated signature fields, and bring the print-outs with you to your appointment!

Please select which forms apply to you. You only need to fill out one set of forms!

If you are seeking general chiropractic care (not for an accident) :
Download New Patient General Care Forms

If you are seeking treatment for a specific accident :
Download New Patient Accident Forms