Borer Family 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.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
Chiropractic - New Patient Health History Form - ADULT - (Ages 18 years old & up)
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!
Chiropractic - New Patient Health History Form - INFANT - (Ages 0 to 4 years old)
This lets us know the history of special considerations during the first years and months of life including the birthing process.
Chiropractic - New Patient Health History Form - CHILD - (Ages 5 to 17 years old) [coming soon]
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!
Download & Print Form