Forms for Adult and Children Patients
Please download, print, and complete the following forms and bring them with you on your first visit. If you have a child who receive chiropractic care, please complete the forms for children in addition to the adult forms. Thank you!
Adult Patient Forms
Adult Welcome Form
Download PDF
General Function Capacity Questionnaire
Download PDF
Fee Schedule
Download PDF
Lifestyle Rating Scale
Download PDF
Low Back Pain and Disability Questionnaire
Download PDF
Neck Disability Scale
Download PDF
Patient History
Download PDF
Privacy Notice
Download PDF
Children Patient Forms
Children's Consent Form
(For children ages 18 and under)
Download PDF
Children's Health and Wellness Intake Form
(For children ages six and under)
Download PDF