Online Forms You are here: Home - New Patients - Online Forms

Active 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. We also offer forms you can fill out on our website to avoid the hassle of downloading and printing forms.

  • 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.

New Patient Health History Form – Required

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!

Adult History Form

We also have forms that cater to children within your family, if they fall into the following categories please use the forms indicated

0-3 years old

4-8 years old

9-13 years old