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New Life Chiropractic 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.
  • Bring your printed and completed form(s) with you to your appointment.

NEW PATIENT Form (English version):   Click Here
New Patient Form (Spanish version):  Click Here

New Patient Pediatric Intake Form (under 5 years of age):  Click Here

Auto or Personal Injury Form (English version):
If your visit is a result of an automobile accident or a personal injury and you have been directed by our staff member to include these forms please download and print this form in addition to the New Patient Intake forms above.
Click Here


CLICK HERE To See How We Handle Your Personal And Health Information known as HIPAA.

Check out our video below and learn how Chiropractic can help you, a loved one, or a friend:
 


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