New Patient Forms

Great Health Chiropractic offers our patient forms online so they can be completed 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 forms from the list below that pertain to your visit, print them out and fill in the required information.
  • Bring them with you on your first appointment.

Patient Forms

Please download and print any necessary forms from the list below and fill them out prior to your first visit. Take your time and answer all questions thoroughly.  The more information you provide the better we are able to understand your condition(s) and better serve you.

Patient History Form

Confidential Patient Information

Auto Injury Questionnaire

General Pain Disability Index Questionnaire

Neck Pain Disability Index Questionnaire

Low Back Pain Disability Questionnaire

Consent to Treatment of Minor Child

Work-Comp Injury Questionnaire

Patient Orthotic Information

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