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NEW PATIENT FORMS

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All Patients (Chiropractic, Acupuncture & Massage)
Intake Form
PHQ
Patient History
Office Policies
HIPPA Consent
Records Request (if necessary)

Chiropractic Patients not in Automobile Accidents Recently
Neck Index
Back Index
Laser Consent (if necessary)

Chiropractic Patients in Automobile Accidents Recently
Accident History
Roland-Morris Low Back Pain Questionnaire
Neck Index
Back Index
Rand 36 Health Survey

Sports Physical Forms
Sports Physicals Instruction Letter
Consent to Examination
Pre-Participation Physical Evaluation


Special Information Documents
Stretches & Exercises
Water Intake
Spinal Nerve Function Chart



Open Monday through Saturday
303-469-0353