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patient forms
FORMS FOR ADULT AND CHILDREN PATIENTS
Please download, print, and complete the following forms and bring them with you on your first visit. If you have a child who receive chiropractic care, please complete the forms for children in addition to the adult forms. Thank you!
Adult Welcome Form
Lifestyle Rating Scale
Patient History
Children's Health and Wellness Intake Form
(For children ages six and under)
General Function Capacity Questionnaire
Low Back Pain and Disability Questionnaire
Privacy Notice
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