Online Forms

Bluegrass Chiro 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, 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 - 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


Download the Free Adobe Reader®

We have 12 chiropractic locations across the Bluegrass state to bring you pain relief that is local and convenient. Find your closest office and click below to visit that location and learn more about your local pain relief and chiropractic team.