We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.
Chiropractic Patient History Form
This lets us know what’s happened in your past, but more importantly, where do you want to be with your health into the future?
Children’s Patient History
Same as above, but for kids 10 and under.
If your health issue is the effect of an injury at work, this information will help us help you.
If your health issue is the effect of an auto accident injury, we need some additional information.
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Nutrition or Weightloss Consultation Form
Notice of Privacy Practices
Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.
Our knowledgeable staff can field most questions over the telephone. ContactBrookfield Chiropractic today.