Online Forms
Below are several of the forms you will need for your first visit.You may save time by printing these and filling them out before your arrival.The forms marked with an asterisk (*) are required.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary forms, print them out, and fill in the required information.
- Please either fax us your printed and completed forms, or bring them with you to your appointment.
SAVE YOURSELF SOME TIME
The Intake Form is the most important of the forms listed here. Please take the time to fill it out as completely as possible before you arrive. We go over all of the information with you and get more details so we have a complete picture of you and your body. The two boxes that are most important are "Symptoms" and "Past Falls/Accidents". For Symptoms we want you to put the most important things first but we want to know everything about your body. If you have occasional knee or hip pain, headaches, IBS, restless leg, etc... we want to know about it. For the Past Accidents box we want your whole life history, active childhood, played sports, rode horses, snow skied and all motor vehicle accidents regardless of how minor they might have been.
*Intake Form - Part 1: This form provides us with information about your current condition/symptoms and health history.
*Intake Form - Part 2: This form provides us with information about your current condition/symptoms and health history.
*Authorization for Chiropractic Treatment
*HIPAA Agreement: Explains the Health Insurance Portability & Accountability Act.
*Authorization for Massage Therapy
3D Spine Simulator
Launch 3D Spine Simulator