Accessibility View Close toolbar

Online Forms

Back to Health Chiropractic 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!

Download & Print Form

If you experience difficulty downloading the forms, try right clicking on the forms and choose "Save link as...". This will allow you to save the PDF formatted forms to your computer. If you cannot open the files that are downloaded, Get Adobe Acrobat Reader, install it, and try again.



Download the Free Adobe Reader®

Contact Us Today

We Look Forward to Hearing From You

Locations

Find us on the map

Office Hours

Our Regular Schedule

Back to Health Chiropractic

Monday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Tuesday:

.

3:00 pm-6:00 pm

Wednesday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Thursday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Friday:

By Appt

Closed

Saturday:

Closed

Sunday:

Closed