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



Download the Free Adobe Reader®

Please note...

Due to Covid Staff shortage, our office hours may vary. Please call to make sure we are open.

Monday:

Office staff: 8am - 5pm

Doctors: 8:15 -10:15 (+Emergencies)

Tuesday:

Office staff: 7:30am - 6pm

Doctors: 7:30am-12:00 4:00-6:00

Wednesday:

Office staff: 8am - 6pm

Doctors: 2pm - 6pm

Thursday:

Office staff: 7:30am - 4pm

Doctors: 7:30am - 12pm

Friday:

Office staff: 8am - 1pm

Doctors: 8:15-10 (+ Emergency calls)

Saturday:

Office staff: closed

Doctors: Emergency only

Sunday:

Office staff: closed

Doctors: Emergency only