School Age (6-18)

Here are the forms for your child's first chiropractic visit.  These are pdf files which means you can simply print the forms and then fill them out.  Please remember to sign where requested and bring these forms with you to your appointment.  We will also need to see your insurance card (if applicable) at that time. 

Protecting your personal information is very important to us.  We comply with HIPAA and all other privacy protocols.  Read our complete privacy policy here. 

Pediatric New Patient Information

School-Age Child History

Demographics

Fee Policy

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