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New Patient Forms

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

New Patient Questionnaire

If you have never been to our office before or it has been 3 years or more since last visiting our office, please complete the following health history form:

pdf icon New Patient Questionnaire

New Pediatric Patients

Please complete the following health history form if you are under the age of 18:

pdf icon New Pediatric Patient Questionnaire

Automobile Accident or Work Injury

If your visit is related to an automobile accident or is a work-related injury, please complete the following form:

pdf icon Accident or Injury

Additional Forms

If you are thinking beyond your immediate condition and want the doctor to have the best understanding of your health situation, so that he may help you achieve optimal health, please complete the following forms:

pdf icon Stress Questionnaire

pdf icon Nutritional Evaluation

pdf icon Toxicity Questionnaire

Contact our Louisville chiropractic office to get started with chiropractic care today!