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Online Forms
We offer our paperwork on line so you can complete it in the convenience of your own home.
You MUST Complete the NEW PATIENT CONFIDENTIAL HISTORY FORM.
Please check with office if additional forms are needed.
New Patient Confidential History Form
(Chiropractic and Acupuncture Patients)
This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
Confidential Patient Health Record
Please click on the icon to download the form. You can then print it off and return back to us.
HIPAA Agreement
HIPAA Agreement Form
Please click on the icon to download the form. You can then print it off and return back to us.
Acupuncture New Patient Packet
Acupuncture New Patient Packet
Please click on the icon to download the form. You can then print it off and return back to us.
ALLERGY INTAKE & CONSENT
ALLERGY INTAKE & CONSENT FORM
Please click on the icon to download the form. You can then print it off and return back to us.
ALLERGY HISTORY
ALLERGY HISTORY Form
Please click on the icon to download the form. You can then print it off and return back to us.
