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Alive and Well Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download our Patient History and Stress Profile forms and fill in the required information.
  • E-mail us your completed forms to chiroalive@gmail.com
  • Or print them and bring with you to your appointment.
  • IF YOU DON'T FILL THESE OUT ONLINE, please come 15-20 minutes early for your appointment.

New Patient Forms (2)

These let us know the history and current state of your health, your conditions, and the factors that play into your present and future well-being. Please fill out both forms below and e-mail or print them.

Complete History Form Online

Complete Stress Profile Online



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