Vance Chiropractic Inc. offers our patient form(s) online so they can be completed 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.
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! Due to Federal and Insurance guidelines all information must be filled out. Not only will it help us help you better, but it will help us give the correct documentation to your insurance company to maximize your benefits. Please read all instructions for each section before filling it out. Thank you.