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New Patients, Start here!

Let us make your first appointment easy and convenient.

Complete Your Forms Today

Completing your paperwork ahead of your appointment saves you time when you arrive at the clinic and helps to ensure that your first visit is seamless and convenient. Just complete the new patient forms in the link above, print them out, and bring them to your first appointment. Your HIPAA forms may be completed online.

If you are unable to print your forms, please arrive at your appointment 15 minutes early to complete your paperwork.

855-424-4761 Questions? Connect with us now.

New Patient Forms

Download my Patient Forms

HIPAA Forms

Submit my HIPAA Forms

What Forms do I Need to Complete?

  1. New Patient Paperwork

    Your new patient intake paperwork covers all of the critical information required to treat you, including:

    • Your medical history
    • Pain symptoms
    • Any accidents or injuries you may have sustained
    • Your habits & lifestyle
    • Family history
    • Other information required to give us a full picture of your health and treatment goals
  2. Record Release Authorization Form

    A standard process in healthcare, this authorization enables Chiro One to communicate with your doctor about your treatment in order to provide you with the highest level of care. Complete and submit them online now.

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