Live Well 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.
New Patient Health History Form - Adult (18 yoa +)
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!
New Patient Health History Form - Minor (< 18 yoa)
This form can be filled out for children or minors. It will let us know their history and current health concerns that your child might have. Please fill out a separate form for
each child.
Download & Print Form
