New Patient Center

Better Health Through Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

If you do not already have AdobeReader® installed on your computer, Adobe Reader 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 Intake 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!
Download & Print Form

New Patient Family Health History Form - Required
Download & Print Form

New Patient Terms of Acceptance Form- Required
When a patient seeks chiropractic health care and we accept a patient for such care, it is essential for both to be working for the same objective.
Download & Print Form

New Patient Notice of Privacy Practices Form- Required
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Download & Print Form

New Patient Payment Policies Form- Required
We believe that a clear definition of our policies will allow us both to concentrate on the big issue of regaining and maintaining health.
Download & Print Form