Advantage Walk-In 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!
Auto Accident/Personal Injury Form - Optional
This form is for anyone involved in an auto accident. Please fill out this form to the best of your ability so that the doctors will know the extent of your injuries and how best to treat you. If you have any questions on this form or for any addtional paperwork or information we will need on the accident, please don't hesitate to call!!
Worker's Compensation Form - Optional
Member Wellness Registration Form - Optional
This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!