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Please feel free to review these patient forms and information sheets, as they will provide much information for you before your office visit. All files are PDFs. Download the latest Adobe Acrobat Reader to view them.

Patient Forms

You may print and fill out these forms ahead of time and bring them on your first visit.

Case History General patient information and explanation of pain.
Medical HistoryList all conditions and symptoms experienced in the patient's medical history.
Insurance/Payment Consent Patient agrees to insurance assignment policy.
Treatment Authorization Patient lists concerns and consents to be treated for them.

Patient Information Sheets

Provided by the American Chiropractic Association

Arthritis Information on Arthritis, with nutrition and exercise recommendations.
Carpal Tunnel Definition, diagnosis, and treatment information for Carpal Tunnel Syndrome.
Headaches Common causes of headaches, prevention, and treatment.
Spine Health Tips for maintaining a healthy spine.
Pregnancy Chiropractic health for expecting mothers.