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Online Forms

Harris Chiropractic offers patient form(s) 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 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 Intake Form - Required

These forms let us know the history and current state of your health.

New Patient Intake Form For Treatment: Download & Print Form

New Patient Intake Form For Motor Vehicle Accident Patients: Download & Print Form

HIPAA Guidelines - Federal Guidelines for protecting patient health information : Download & Print Form



Download the Free AdobeReader®