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
