PATIENT FORMS / DOWNLOAD & COMPLETE

Save time on your visit! Download and complete these forms before your appointment.

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Save Time—Fill Out Your Forms Before You Arrive!

We want to spend more time focused on getting you feeling better and less time on paperwork. Download and complete your forms ahead of time, and you'll be ready to go when you arrive. It's quick, easy, and helps us give you the best care possible!

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General New Patient Form

This comprehensive form collects important information about your health history, current symptoms, and treatment goals.

Required for: All new patients seeking chiropractic care

Time to complete: 10-15 minutes

📥 Download PDF
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Pediatric New Patient Form

Specialized form for children 12 and under including prenatal history, birth information, and developmental milestones.

Required for: Pediatric patients (12 and under)

Time to complete: 15 minutes

📥 Download PDF
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Personal Injury / Auto Accident Form

Specific information needed if you're seeking treatment after an auto accident or work-related injury. Includes accident questionnaire and health care lien.

Required for: Accident/injury patients

Time to complete: 15-20 minutes

📥 Download PDF
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Massage Therapy Only Form

For patients seeking massage therapy services only. Includes health history, areas of concern, and massage-specific consent forms.

Required for: Massage therapy patients

Time to complete: 5-10 minutes

📥 Download PDF

Which Form Do I Need?

  1. General New Patient Form: Most adult patients seeking chiropractic care should download this form.
  2. Pediatric Form: If your child is 12 years old or younger, download this specialized pediatric form instead.
  3. Personal Injury / Auto Accident Form: If you were injured in an auto accident or work-related injury, download this form in addition to the general form.
  4. Massage Therapy Only Form: If you're only seeking massage therapy services (not chiropractic), download this form.

How to Complete Your Forms

  1. Download the appropriate form(s) by clicking the download buttons above.
  2. Print and complete the forms using a pen with black or blue ink. Please write legibly.
  3. Bring to your appointment or email completed forms to absolute@awellnesscentre.com at least 24 hours before your visit.
  4. Don't have a printer? No problem! Arrive 15 minutes early to complete forms in our office.

Frequently Asked Questions

What should I bring to my first appointment?

Bring your completed forms, photo ID, insurance card (if applicable), and a list of any current medications or supplements you're taking.

Can I fill out forms digitally?

Yes! You can fill out PDF forms on your computer or tablet, then print and sign them. Or email the completed forms to us.

What if I don't complete the forms beforehand?

That's okay! Just arrive 15 minutes before your scheduled appointment time to complete the paperwork in our office.

Do I need to complete forms for every visit?

No, these forms are only required for your first visit. We'll ask you to update information periodically or if anything changes.

Is my information secure?

Absolutely. We follow strict HIPAA guidelines to protect your privacy and keep all your health information confidential.

Ready to Schedule Your Appointment?

New Patient Special: $49 (Consultation, Exam, X-rays if needed & First Adjustment)

Schedule Your Appointment 📞 Call (309) 693-8448