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New Patient Forms

New Patient Forms

We'e made our new patient forms available here on our website to provide you with the opportunity to fill them out at your convenience prior to coming to our office.

  • You must have Adobe Reader installed on your computer to download these forms. If you do not already have Adobe Reader installed, click here or on the link at the bottom of the page to download it.
  • Download the forms, print them out and fill in the required information.

New Patient Forms
(Required)

Our new patient paperwork helps us gain valuable information about the current state of your health.

For New Patients Seeing Dr. Charlie

New Patient Forms (Chiropractic)

*****PLEASE NOTE*****
Print out both the first four and last four pages of this PDF and then only the
functional index forms related to what you will be coming in to our office for

When filling out the functional index forms, only answer the questions on them.
Don't worry about any scoring of these forms. This will be done by Dr. Charlie.

For New Patients For Massage Therapy

New Patient Forms (Massage)



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