Online Forms

online form pic

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!

Download & Print Form


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.

Download & Print Form



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