New Patient Forms
We know that paperwork in a doctor’s office can be tedious and time-consuming to complete. But the information you provide helps give us an accurate picture of your current health and the conditions you are experiencing that need treatment. Below you will find the documents for new patients to be completed prior to your first visit. Depending on which practitioner you are seeing in our clinic, please download the correct forms and bring them with you to your first appointment.
In order to make your first visit to our office easier for you, please download the Chiropractic Patient Registration Packet and complete EACH of the forms at your convenience. Be sure to bring the completed forms with you to your first appointment, with any previous test results, x-rays, or health documents that you have and feel are important. The documents titled “Insurance Coverage and Patient Liability Policy” and “Notice of Privacy Practices” are for your own records and do not need to be returned to the office.
If for some reason you are not able to download these forms, please plan on coming in fifteen to twenty minutes prior to your scheduled appointment time to complete the paperwork in our clinic. In addition, please bring a recent copy of your health insurance card and a current photo ID if you plan to have our office bill your insurance company for your care.
If you have recently been in a motor vehicle collision, you are required to complete the following intake form in addition to the New Patient Information Packet prior to being seen and treated at our clinic: Motor Vehicle Accident Patient Form.
If you have recently been injured in a work-related accident, you are required to complete the Workers’ Compensation Patient Form in addition to the Chiropractic Patient Registration Packet prior to being seen and treated at our clinic.
Food Intolerance Testing Patients
For those patients who are coming to the clinic for food intolerance (sensitivity/allergy) testing, please download and complete the Food Intolerance Testing Packet prior to being seen and treated at our clinic.
Massage Therapy Patients
For those patients who are seeing Aimee Renteria, LMT, for therapeutic massage therapy treatment, please download and complete the SCCWC Massage Patient Registration Packet.
For those patients who are seeing Leah Bowder, LMT, for therapeutic massage therapy treatment, please download and complete her Massage Patient Form.
If you are seeing our clinic’s acupuncturist, please download the following New Acupuncture Patient Information Packet and complete the forms at your convenience. Be sure to bring the completed forms with you to your first appointment, with your insurance card if you are planning to bill your insurance company for your care.