New Patient Forms & Payment Options
Complete New Patient Paperwork Online
Want to save 20 minutes during your first visit? Please complete the New Patient Intake Form. Completing this form will eliminate any paperwork during your first visit!
If you want X-ray diagnosis, please also complete the X-ray Consent Form, and bring it with you to your first visit.
Alternative Option: Paper & Ink Forms
Alternatively, you can print the forms below, fill them out, and bring them with you on your first visit.
Pediatric Forms – Newborn to 1 Month
Pediatric Forms – 2 Months to 2 Years
Pediatric Forms – 3 to 5 Years
Pediatric Forms – 6 to 9 Years
Pediatric Forms – 10 Years and Older
Payment Options
Our average office visit is less than most co-pays. We accept most major insurance providers, cash, checks, and all major credit cards (including Visa, MasterCard, Discover, and American Express). We also have partnership arrangements CareCredit, ITEX and BBE.
With CareCredit® Convenient Monthly Payment Plans, you can say “yes” to the best chiropractic treatment immediately, and pay for it over time with low monthly payments that fit easily into your budget. Apply Now — or to learn more about CareCredit, please contact us.
