Arapahoe Chiropractic and Acupuncture Center offers our patient form(s) online so they can be completed it 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!
Informed Consent/Financial Policy Form - Required
Health Insurance Claim Form - Required
Motor Vehicle Accident Questionaire Form - Required for Auto Accident Patients Only
Pain Drawing Form - Required for Auto Accident Patients Only
Neck/Low Back Disability Index Forms - Required for Auto Accident Patients Only
Please complete the neck form if you are having neck pain,
Please complete the low back form if you are having low back pain