Price Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.
- If you do not already have AdobeReader installed on your computer, Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
New Patient Health History Form - Required
If you have United Healthcare or Medicare only, please also print and fill out the appropriate pain index form. (If your main complaint are your shoulders or arms, please print Neck Pain Index. If your main complaint are your legs or feet, please print Back Pain Index.)