Skip to content

New Patient Forms

We offer our paperwork online so you can complete it in the convenience of your own home.

Chiropractic Intake Forms

General Intake – Age 13+

pdf iconDownload & Print Form

Pediatric Intake – Infant – Age 0-4

pdf iconDownload & Print Form

Pediatric Intake Form – Age 5-12

pdf iconDownload & Print Form

Supplemental Pregnant Patient Intake

pdf iconDownload & Print Form

Supplemental Postpartum Intake

pdf iconDownload & Print Form


Massage Intake Form

pdf iconDownload & Print Form


Acupuncture Intake Form

pdf iconDownload & Print Form


Naturopathic Intake Forms

Adult Intake Form

pdf iconDownload & Print Form

Informed Consent Form

pdf iconDownload & Print Form

IV Therapy & Injections Form

pdf iconDownload & Print Form


Direct Billing

Our mission is to ensure you have the most amazing experience in our office! We offer direct billing services to most insurance companies. Please ensure this form below is filled out along with your new patient form. If you have any questions, please feel free to call our clinic to ask one of our highly trained staff.

pdf iconDownload & Print Form


New Patient Forms | (403) 995-4640