Wellcare Chiropractic Center 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 office.
- Download the necessary form(s)by clicking the link, print and fill in the required information.
- Bring these forms with you to your appointment.
- Forms are specific for Chiropractic, Acupuncture, Massage and Ideal Protein
- If you do not already have AdobeReader® installed, Click Here to download.
1) Registration Forms (includes receipt of HIPPAA Privacy Notice) Click here to read Privacy Notice
2) Financial Policies (as it applies to your current situation)
3) Complete these Quesionnaire forms as they apply to your area of pain.
|- Neck Pain||- Upper Extremities (arms/hand)|
|- Low Back Pain (online form)||- Lower Extremities (legs/knees/feet)|
Acupuncture: Acupuncture Registration & Consent
If you will be receiving acupuncture regarding any of the following issues, please download, fill and bring the applicable form(s) with you to your first appointment: Gynecological Questions, Fertility Questions
Massage: Massage Registration Form
Ideal Protein: Health Profile Form