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 for 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!
Member Wellness Registration Form - Optional
This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!
Download & Print Form
Download the Free AdobeReader®
Next: What You Can Expect