New Patient Paperwork

Core Chiropractic offers our patient form(s) In two different options so they can be completed in the convenience of your own home or office.

  • We offer our forms as PDF files or as online forms. To view the PDF files you will need AdobeReader®.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out, and fill in the required information, or complete the online forms.
  • Bring the necessary form(s) to your appointment.

New Patient Health History From

  • Download & Print

    Click to Download

  • Fill Out Online

    Click to Complete


Automobile Accident Form

  • Download & Print

    Click to Download

  • Fill Out Online

    Click to Complete


Release of Records Form

  • Download & Print

    Click to Download

  • Fill Out Online

    Click to Complete


Consent To Treat A Minor Form

  • Download & Print

    Click to Download

Monday
9:00am - 1:00pm
3:00pm - 6:00pm


Tuesday
9:00am - 1:00pm
3:00pm - 6:00pm


Wednesday
9:00am - 1:00pm


Thursday
9:00am - 1:00pm
3:00pm - 6:00pm


Friday
Closed


Saturday & Sunday
Closed

Core Chiropractic

558 E Riverside Dr #101
St. George, UT 84790

(435) 674-0244