In his 1856 journal, the great American philosopher and naturalist Henry David Thoreau wrote, "I love the winter, with its imprisonment and its cold, for it compels the prisoner to try new fields ...View Article
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BACK IN ACTION
CHIROPRACTIC, ACUPUNCTURE AND MASSAGE THERAPY
Back In Action offers our patient form(s) online so you can complete it in the convenience of your own home or office.
CLICK HERE TO DOWNLOAD THE NEW PATIENT HEALTH HISTORY FORM THAT HAS BEEN MODIFIED SO THAT YOU CAN DOWNLOAD IT TO YOUR COMPUTER AND TYPE IN YOUR RESPONSES. You can download and print this form and write in your answers, as well. It is just that the option exists to type your answers. You will still need to print it, in order to draw on the pain diagrams and to sign the form. There are 2 pages.
Here are other downloadable form options for the chiropractic and acupuncture new patient forms, in the event that the above form does not download properly:
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!