Healthy Living Family Chiropractic offers our patient forms online so they can be completed it in the convenience of your own home or office. Doing this will save approximately 20 minutes on your first visit.
- 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.
CHIROPRACTIC New Patient Health History Form
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!
- Adults (18 years and older): Download and Print
- Pregnancy Form: Download and Print
- Teenagers (13-17 years): Download and Print
- Children (8-12 years): Download and Print
- Children (3-7 years): Download and Print
- Children (0-2 years): Download and Print
NUTRITION RESPONSE TESTING New Patient Introduction Form
VACCINE EXEMPTION FORM
Our office is committed to maintaining the privacy of your protected health information, which includes information about your health condition and the care and treatment you receive from our office. Please review this notice carefully. You do NOT need to print this form.