Wise Chiropractic, Inc. offer our paperwork online so you can complete it in the convenience of your own home. Prior to coming in for your first visit, it helps us to have some background information so that we can hit the ground running! Below are the instructions for completing our paperwork:
- Open the attachment and download to your computer. IMPORTANT: Do not complete the forms in your internet browser or it will not save your information.
- If the forms open in your web browser by default, close the window and open the PDF file using Adobe Reader.
- Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, download for free: Get AdobeReader® FREE
- Complete the all questions on the forms digitally.
- Save the file to your computer with your first name and last initial.
- Print or Attach and Email the forms to us before your first visit.
New Patient Health History Form - Required
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with?
Adult and Teenagers (+13 yrs old) Download, Fill in & Print Form
Adult Pregnancy (Pregnant Females) Download, Fill in & Print Form
Pediatric/Children (0-12 years old) Download & Fill in & Print Form
Auto Accident Paperwork Download, Print Forms & Fill in
NAET - Allergy Elimination (Additional Forms to Download) Download, Print Form & Fill in
*** Please note our new address is 6332 S. Rainbow Blvd #120 ***
HIPPA Compliance Form
Please fill out the last page and return it to the office on your first visit.