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Natural Health Chiropractic Center LLC offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.


New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Child Patient Health Record
Adult Patient Health Record
Health Assessment Form


Member Wellness Registration Form - Optional

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!

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Congratulations on your choice to explore vibrant health and peak performance! While no single option is a “cure-all,” the variety of therapies and modalities available to facilitate better health all have their place. There are three models of health care in our system:

1. Emergency Care : In the United States, we excel at this form of care and intervention. However, we have tried to use this as our primary form of healthcare – a purpose for which it was never intended. This focus on waiting until something has broken before we fix it has led to the massive health crisis in our country.

2. Early Detection : Consisting of screenings (cholesterol, blood pressure, …..) this is a step in the right direction. The earlier we catch a problem, the easier it is to mitigate the damage.

3. Prevention : This type of health care requires people to think about health in a different way than they are used to. Health is viewed in terms of solid habits (exercise, nutrition, stress management, etc.) that are developed for a lifetime to prevent disease and illness from running (and ruining) our lives. This is the model of healthcare where chiropractic fits!

 

Please fill out the appropriate forms and bring them with you to your first visit:

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