New Patient Forms


Patient History / Registration Form
For your convenience, and so that we can expedite your visit in an efficient manner, we have
provided a pre-patient registration form which you can print off and fill out prior to your first visit.
Simply click on the following link to obtain a printable PDF: Patient_History_Form


HIPPA (Health Insurance Portability and Accountability Act)
In addition to your patient history registration, we have also provided a HIPPA form which
should be read and signed prior to your first visit. Simply click on the following link to obtain
a printable PDF: HIPPA


Effects of Spinal Misalignments
If you wish to learn more about your Spine and its effects on the function of your body, click on
the following link to obtain a printable PDF: Effects of Spinal Misalignments

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