Welcome to our practice!
Before your first appointment, please take a moment to download these forms. You can bring them with you or email them to us.
Adobe Reader (PDF) Format
- New Patient Packet
- Patient and Insurance Information
- Patient Intake Form
- Informed Consent to Chiropractic Treatment
- HIPAA Acknowledgement
- Patient Privacy Notice
Additional forms
If you see your insurance company listed below,
please download the forms associated with it and bring them to your appointment.
All Insurance Companies
(except United HealthCare)
United Healthcare
- Patient Survey Form (complete bottom portion)
- UHC Back Index
- UHC Neck Index
Anthem Healthkeepers
- Initial Health Status Form
- Patient Progress Form (established patients)
