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! The New Patient Intake Form contains all the information necessary and includes Informed Consent for Chiropractic Care, Health Survey, Visual Analog Scale, Pain Drawing & ADL, and the Low Back Pain and Disability Questionnaire.
We have different Paperwork for each case type, please select which best suits you.