At Accident and Injury Chiropractic, offers our patient form(s) online so they can be completed in the convenience of your own home or office.
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Download the necessary form(s) and fill in the required information.
Fax or email us your completed form(s) or bring them with you to your appointment.
Download: New Patient Health History Form - Required
Submit Online: New Patient Health History Form - Required
Submit Online: Insurance Verification Form - Required