Simple Truth Chiropractic offers our patient forms online so they can be completed in the convenience of your own home before you arrive to our chiropractic office.
- This form can only be completed on most devices.
- The link will be emailed to you upon creating your appointment (the link is specific to you).
- 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.
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!
If you're unable to complete the form online, we have a PDF version that you can print out, fill in, and bring with you to your appointment.
Click Here for PDF of New Patient Intake Form
Download the Free AdobeReader®
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