Activate Chiropractic A Family Wellness Center 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.
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!
Accident Intake Form
Should you be seeking care following an auto accident, please complete this form with as much information as you can. We know this can be an overwhelming time so if you have any questions give us a call and we can talk you through it!
Pediatric Intake Form
We want to know the background of even our youngest patients. To be completed by the parent or guardian of anyone up to age 18.
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