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Visiting a Chiropractor

Impact 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.
  • Bring your completed forms with you to your first appointment.

New Patient Health History Form - Required

This paperwork 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, please print and fill out the regular adult paperwork below:

Download & Print Adult Paperwork

If you are an expecting mother, please fill out the Pregnancy Paperwork:

Download & Print Pregnancy Paperwork

If you are filling out paperwork for a child 1-12 years of age, please fill out the Child Paperwork: 

Download & Print Child Paperwork

If you are filling out paperwork for an infant, please fill out the Infant Paperwork:

Download & Print Infant Paperwork

This "Traumas, Toxins and Thoughts" style of acquiring a child's patient history can truly help us discover the root cause of any concerns you may have regarding your child!  If you have any specific questions about the Child Paperwork, please feel free to call us at 970.223.5501.



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