Intake Forms for all Chiropractic Patients
Please complete one intake for each individual patient
The intake forms below are for all the different types of patients we are able to treat. Each form is loaded into the patient's profile for notes, and for their records. To enter another intake, please click here after your previous entry has been confirmed.
Please complete the appropriate intake prior to your appointment! Not having the intake done prior to your appointment will cause delays in the doctors schedule!
While we offer paper intakes, this is not a preferred method because we have to manually enter information, which is sometimes not legible, and takes extra time. This will likely cause delays in receiving your report, if for animals, because we might not guess correctly on what was written.