To speed up your first visit with us, please download and complete the following forms prior to your appointment.
Chiropractic
The complete set is comprised of the following documents:
1. Intake Form
2. Office Fee Schedule & Financial Policy
5. Notice of Privacy Practices
Click here for the complete set, or click on individual forms to download them one at time. Please make sure that you have all 5 forms.
Vehicle Accidents
Additionally, if your appointment is the result of a vehicle accident, please download these additional forms:
1. Automobile Accident Questionnaire
2. Personal Injury Insurance Information
3. Personal Injury Protection (PIP) Verification Agreement
Click here for the set or on the individual form for just that form.
Pediatric Patients
Pediatric New Patient Paperwork
1. Pediatric New Patient Form
A. Front
B. Back
2. Fee Schedule
3. Terms
4. HIPPA Privacy Information
A. Front
B. Back
Click here for the set or on the individual form for just that form.
You will need Adobe Acrobat Reader and if you do not have a copy, click here.
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