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Complete Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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 lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Filling Out Intake Form Directions

Everyone needs to fill out online intake forms. If you have problems you can always come into our office and do it over computers here. Fill Out Digital Online Forms By Clicking On Link. It Goes Directly To Our Data Base and Not In Cyber Space. At the end of the form make sure you click on the box, input the numbers or letters from special box in space designated to make sure you are not a computer, use your mouse for signature, don't print out, click on submit, and you should see a thank you.

All New Patients CLICK HERE to access New Patient Intake Form

United Healthcare Patients Only

Do not fill out ACN and United Health Care (UHC) forms unless you have that insurance and your insurance company tells you to. Some UHC patients need to and others do not. I know it's weird. Make sure you fill out digital and UHC/ACN forms. I know it's a pain. That's insurance for you.

UHC/ACN paper work needs to be downloaded and printed to be filled out by you HERE

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

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