Online Forms

Simple Truth Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office before you arrive to our chiropractic office.

  • This form can only be completed from a desktop or laptop.
  • Allow yourself 15-20 minutes to complete the forms.
  • Please fill out each section completely, selecting "none" if a section doesn't apply to you or "other" if your answer is not listed.
  • Pediatric Patients: Please fill out both the Standard and Intensive Evaluation.    
  • You must hit the "Submit Form" button in order for us to receive your forms :) 

New Patient Health History Form - Required by all new patients

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!

Click Here for our Intake Forms

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Review By Our Satisfied Patient

  • ""When I first came here, I could barely walk 10 feet across the room without getting a sharp pain in my hips and back. After one visit, I felt a lot better. After one week I went back to work and I've been improving ever since." - Michelle H. from Wyoming, Michigan."