Online Forms

The Chiropractic Health Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

• 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.

Online Patient Intake Form 

Fill Out the Online Form

Printable HIPAA Notice of Privacy Practice Form

Download and Print Form

Printable New Patient Health History Form 

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!

Download & Print Form

Massage Intake Form

Download & Print Form

Download the Free Adobe Reader®