New patient paperwork
Completing your new patient paperwork before your first visit at The Chiropractic Place helps us provide the best possible care by giving us a complete picture of your health history, current symptoms, and wellness goals. This saves valuable time during your appointment so we can focus on your exam and treatment.
Why paperwork matters
What we learn from your forms:
- Complete medical and family health history.
- Current symptoms, pain patterns, and limitations.
- Lifestyle factors, work demands, and activity levels.
- Previous treatments, injuries, and medications.
- Your specific health and wellness goals.
How to complete your forms
Our new patient forms are designed to be simple and straightforward. Download, print, and complete them at home at your own pace no rush required.
Download the PDF forms using the link above.
Print out the form and complete with a pen. Just don't mess up :).
Simply bring in the completed form with you during your next appointment.
What information do we need
Diana will help with this when you are in the clinic if you need assistance.
Your forms cover essential details that help us prepare for your specific needs and ensure safe chiropractic care.
- Health History : Past conditions, surgeries, medications, allergies.
- Current Symptoms : Pain locations, patterns, triggers, and severity.
- Lifestyle Questionnaire : Work, exercise, sleep, stress factors.
- Consent & Goals : Treatment preferences and wellness objectives.
Benefits of completing forms early
You’ll enjoy:
- Shorter wait times and faster check-in.
- More appointment time for the exam and treatment.
- Doctors are fully prepared with your health background.
- Customized care plan discussion from minute one.
- Reduced stress - arrive relaxed and ready for care.
Frequently asked questions
1. How long does paperwork take?
About 15-20 minutes. Complete at home whenever convenient before your visit.
2. Can I fill out forms in the office?
Yes, absolutely. Completing them beforehand does save significant time during your appointment.
3. What if I can't print the forms?
We will simply have you complete the forms in office. Don’t stress about it too much.
4. Do I need to answer every question?
Ideally, yes. Thorough answers help us create the best possible care plan for you.
5. Should I bring medication lists or imaging?
6. What if my health changes before my visit?
7. Is my information private and secure?
Absolutely. All patient information is confidential and protected under HIPAA regulations.