New Patient Forms

Print New Patient Forms and fill them out before your first appointment and save 20 minutes at your appointment.

 

New Patient Forms for Chiropractic, Laser and Facials:

New Patient Intake Form

Facials Intake Form

Consent to care

Please read the HIPPA Privacy notice by clicking here and bring the form below with you to your appointment.

Acknowlegement of Receipt of HIPPA Privacy Notice

 

Health Coaching

Health Coaching: Confidential Health History

Functional Medicine:

Metabolic Assessment Form

Brain Function Assessment Form

Brain Health Nutrition & Assessment Form

Children:

New Patient Intake Form – Child

Consent to Treat a Minor

Spanish / Español:

Nuevo Paciente Formulario

 

PLEASE REVIEW THIS INFORMATION CAREFULLY.  IT DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU MAY GAIN ACCESS TO THAT INFORMATION.

HIPAA Privacy Notice

HIPPA Privacy Notice condensed