Atlas Chiropractic Care offers our patient form 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, print out and fill in the required information.
- Fax us your printed and completed form 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!
Functional Rating Index Form
In order to properly assess your condition, we must understand how much your neck and/or back problems have affected your ability to manage everyday activities.