Complete 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
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!
Filling Out Intake Form Directions
Everyone needs to fill out online intake forms. If you have problems you can always come into our office and do it over computers here. Fill Out Digital Online Forms By Clicking On Link. It Goes Directly To Our Data Base and Not In Cyber Space. At the end of the form make sure you click on the box, input the numbers or letters from special box in space designated to make sure you are not a computer, use your mouse for signature, don't print out, click on submit, and you should see a thank you.
All New Patients CLICK HERE to access New Patient Intake Form
United Healthcare Patients Only
Do not fill out ACN and United Health Care (UHC) forms unless you have that insurance and your insurance company tells you to. Some UHC patients need to and others do not. I know it's weird. Make sure you fill out digital and UHC/ACN forms. I know it's a pain. That's insurance for you.
UHC/ACN paper work needs to be downloaded and printed to be filled out by you HERE