Online Forms

Touch of Life 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.
     

All New Patients - Please fill out the forms below

Patient Case History Form - Download & Print Form

Functional Rating Index - Download & Print Form

Terms of Acceptance - Download & Print Form



Auto Accidents

Accident Injury Questionaire - Download & Print Form

Letter of Protection - Download & Print Form
 



Children

Pediatric Questioniare - Download & Print Form
 



Download the Free AdobeReader®

Office Hours

Our Regular Schedule

Monday:

9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Tuesday:

9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Wednesday:

9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Thursday:

9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Friday:

9:00 am - 11:00 am

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Location

Click the map to view the location nearest to you