Health Intake Forms
We are very excited to help you with your health goals!
Soon you will be feeling better, and better. We look forward to the smile that comes with that.
Click on the form you need below to download.
Each file will open in a new tab. Print each of the forms listed under the title of the type of appointment you are having.
Please let use know if you have any quesitons!
* Once you have downloaded your form(s), print and complete at least 24 hours prior to your appointment, and simply bring with you at the time of your appointment.*
Initial Testing & Consult
Health Appraisal Questionnaire — Use this form for an initial appointmet or if your practitioner has requested a follow-up test.
Initial Body Work* or Chiropractic Appointment
(*Body Work referrs to any type of massage therapy, Bowen therapy, Energy work, etc.)
Body Work & Chiropractic Intake Form
Initial Fitness Assessment
Initial Brain Spotting or Stress Reduction Session
ACE & Resilience