Core 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 – Download & Print | Fill Out Online
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!
Automobile Accident Form – Download & Print | Fill Out Online
If your health issue is the result of a car accident, we need some additional information.
Release of Records Form – Download & Print | Fill Out Online
If you have received chiropractic care elsewhere, or have medical records we will need from another practitioner, please sign this release.
If your child is under 18, we will need you to sign this release in order for us to treat them.