Community Chiropractic, P.C. 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.
This lets us know what’s happened, but perhaps more important, where do you want to take your health?
Minor Consent Form
This is Parental/Guardian consent to treat a minor child.
If your health issue is the result of a car accident, we need some additional information.
If your health issue is the effect of an injury at work, this information will help us help you.