Forms

Please print and complete whichever forms are applicable to you prior to your appointment. If you are unable to do so for any reason, please arrive 30 minutes prior to your scheduled appointment time to complete the form(s) in our office.

If you have any questions regarding these forms, please call:  (651) 633-4291 


For new patients being seen for any Chiropractic Services (exam and adjustment) please complete the form listed below:

For new patients being seen for only Massage Services please complete the forms listed below:

For new patients being seen for Functional Medicine (Type 2 Diabetes, Fibromyalgia, weight loss/gain, migraines, Hoshimotos Thyroiditis, etc.), please complete the forms listed below:

For new patients being seen for Women’s Health (PMS relief, fertility support, PCOS/PCOD relief, endometriosis relief, menopause relief, etc.) please complete the forms listed below: