New Patient Health History Form – Required

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!

Patient Intake Questionnaire – Download & Print Form

Patient Health History – Download & Print Form

Additional Forms

Privacy Notice – Download & Print Form

Chiropractic & Acupuncture Consent – Download & Print Form

X-Ray Consent – Download & Print Form


  • 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.