CARE CHIROPRACTIC HEALTH & REHAB offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
- 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.
New Patient Health History Form - Required
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!
CHIROPRACTIC APPOINTMENTS
Download & Print Form: Adult (18 Years of Age or Older)
Download & Print Form: Young Adult (13-17 Years of Age)
Download & Print Form: Pre-Teen (6-12 Years of Age)
Download & Print Form: Pre-Schooler (1-5 Years of Age)
Download & Print Form: Infant (0-12 Months Old)
MASSAGE THERAPY APPOINTMENTS
Download & Print Form: All Patients
For Intake forms for other practitioners in the clinic (ie. Naturopath Appointment, Acupuncture Apointment), please ask the reception staff.