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Online Forms

Advanced Chiropractic offers our patient form(s) online so you can complete 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.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.


New Patient Health History Form - Required

This let's us know the history and current state of your health. Help us help you!

Download & Print Intake Form


Additional Health Questionnaire Forms-

If you made an appointment due to a motor vehicle accident, please complete this form AND the New Patient Health History Form (above):

Download & Print MVA Form

If you are making an appointment due to an injury which occurred at work, please complete this form AND the New Patient Health History Form (above):

Download & Print Worker's Compensation Form

Notice of Privacy Practices

Informed Consent

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