For your convenience and to make your first visit as smooth and efficient as possible, please print and fill out all of the following forms.  If you have any questions regarding them, please feel free to call or email our office.

New Patient History

Please fill it out thoroughly and legibly.

Privacy and Consent Notice

This form is your consent for the purpose of treatment as well as information regarding the privacy rights afforded to your health information.  Its sole purpose is to protect your right to privacy.

Terms of Acceptance

When a patient seeks chiropractic health care and we accept a patient for such care, it is essential for both to be working towards the same objective. Chiropractic has only one goal:  It is important that each patient understand both the objective and the method that will be used to attain it.  This will prevent any confusion or disappointment.  Please read and sign our Terms of Acceptance agreement.

Symptom Survey

Please read and fill out our Symptom Questionnaire.  It will greatly help to facilitate your healing process.  Answer each question group to the best of your ability.  Be sure to leave the circles blank if it does not apply to you.  If you have any questions, again don’t hesitate to contact us.