New Patient Paperwork

Excellence In Health Chiropractic & Rehabilitation Clinic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

• All forms are PDF files. You will need AdobeReader® to view them.
• If you do not already have AdobeReader® installed on your computer,
  Click Here to download.
• Download the necessary form(s), print them out and fill in the required information.
• Bring the necessary form(s) to your appointment.

All New Patient Forms

Please read and fill out each of the following forms prior to your visit. Proceed to the next sections if your visit has to do with a personal injury or Workers' Compensation.