Intake Forms for Phillip Family Chiropractic
Intake forms can be completed depending on your preferences. You can print them off (follow the link on the left) or fill them out at the clinic on your first visit. Having them filled out prior to your first visit will help reduce time in the office on your first visit.
We take the intake forms very seriously because it allows us to understand everything in your past history that could be a direct cause or a contributing factor to the challenges you or your child are facing today. Do your best when filling out the history, we know that you may not know or remember everything that pertains to the questions asked, however, the more we know, the more we can help!
If you choose to fill out the above forms prior to your first appointment, please remember to bring them with you to the first appointment so that we may read them over and discuss them with you.
Adult intake forms are for persons 11 years and older.
Pediatric forms are for children 10 years old and younger.