New Patient Forms

Chiropractic Health Clinic offers our new patient form(s) online for you to complete at your leisure, from the convenience of your own home.

  • Click to download the required forms below, print them out and fill in the required information.
  • Bring the completed paperwork with you to your scheduled appointment.

* Please note: If you are unable to download or print the forms, please arrive 15 minutes prior to your scheduled appointment time to complete them.

Patient Information & Health History Form

 

Let us get to know you! The Patient Information and Health History Form gives us information about you and the history and current state of your health so that we can assist you in the best way possible.

Authorization and Release Form

 

Treatment & X-Ray Consent Form

 

Unaccompanied Minor Form

 

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Location & Hours

 

806 Governors Drive SW, Suite 102

Huntsville, Alabama 35801

Monday 8:00am – 5:00pm

Tuesday 8:00am – 5:00pm

Wednesday 8:00am – 5:00pm

Thursday 8:00am – 5:00pm

Friday 7:00am – 12:30pm

*Our office closes daily from 12:30 – 2:00 for lunch.

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