Spinal Logic Chiropractic offers our patient forms online so they can be completed it in the convenience of your own home or 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.

 

Required Forms

New Patient Health History Form

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 and Print Form Here

Entrance Application

Download and Print Form Here

HIPAA Declaration

Download and Print Form Here

Informed Consent to Care

Download and Print Form Here

Xray Release 

Download and Print Form Here

Financial Agreement

Download and Print Form Here

 The Alderman Analyzer 

We treat a variety of patients in our office.  Because each patient communicates differently, we have new patients fill out this personality profile so that we may better communicate with your personality style.

Download and Print Form Here

 


 Authorization to Treat a Minor  

Download and Print Form Here

Child Health History Form

Download and Print Form Here