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