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New Patient Forms

We offer our paperwork online so you can complete it in the convenience of your own home.

Child Intake Form (14 years old and younger)

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Adult and Adolescent Intake Form (15 years old and older)

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Free AdobeReader®

Get adobe readerEach form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.


New Patient Paperwork at Westheights Chiropractic | (519) 744-9904