For your convenience, our patient forms are available for download. If you prefer, you can complete the form and bring it with you at the time of your appointment.

If you would like to print the forms and fill them out, you can send them back to us by emailing.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.
New Patient Health History Form – Required
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
Office Financial Policy – Required
Describes the offices financial policies as well as outlines the cancellation policy and fee for missed massages
Weight Loss Form – Required (if applicable)
Acupuncture – Required
Describes the offices financial policies as well as outlines the cancellation policy and fee for missed massages
Patient Informed Consent – Required
This is used to so proof that the patient understands the inherent risks of chiropractic, HIPPA policies, and gives us authorization to treat them.
Massage Therapy – Required
Describes the offices financial policies as well as outlines the cancellation policy and fee for missed massages
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