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Online Forms

  • Click on the forms you need, then print and complete the requested information.
  • Fax, mail, or drop off your forms to our office before your appointment.
  • Please do not email forms to our office.

 


Patient Health History [Required for age Twelve or Older]

By completing this form ahead of time we can get right in to your care.  It gives us insight into your health history and gives indications as to how we might work with any current issues you may have.  Also print the agreements below to allow us to provide the best service and to get the best results in the shortest amount of time.

Click Here --->Patient Health History

Click Here --->Doctor & Patient Agreements 

Planning on using Medicare?  Please click this link to read an important letter: Medicare Letter 

If you are the parent of a child coming in under the age of 18 you need to fill out this form as well.

Minor Consent Form

 

Youth Patient History [Required for ages Birth to Twelve years]

If your child is our patient, please complete and return one of the following forms to our office.

Birth to Two Years Old

Three to Five Years Old

Six to Twelve Years Old

 


 

Other Forms [If requested by doctor or front staff only]

3 Day Food Diary

Nutrispec Pretest Instructions

Functional Rating Index (FRI) for Neck and Back Pain

Lower Extremity Functional Index for Hip, Knee, Ankle and Foot Pain

Upper Extremity Functional Index for Shoulder, Elbow, Wrist and Hand Pain

 

 

We work hard to ensure that our new patients are well at ease, because we know that visiting a doctor for the first time can be an overwhelming and nerve wracking experience.  At our office, you will be welcomed with a warm greeting, have the option to complete the paperwork in the comfort of your own home, and have a personalized conversation on strategies that will contribute to improving the quality of your life.

1.  Your first visit will last about an hour and a half.  This will include a consultation and examination with the Doctor, as well as an assessment by our Certified Athletic Trainer, and will serve as the information gathering time.

2.  The second visit will be a 30-minute follow up with the Doctor, which will include your first chiropractic adjustment, and a 30-minute educational session with our Athletic Trainer.

3.  The third visit will be another adjustment with the Doctor.

4.  Your fourth visit will be a 45-minute Report of Findings consultation with the Doctor. The doctor will discuss your recommended treatment plan moving forward, as well as answer any questions or concerns you may have about how that will transpire.  We always welcome additional members of your family to accompany you during this visit so that they can become educated about the next steps as well.

 

Our forms are in PDF format. You can download the Free AdobeReader® here.