Patient Forms - Natural Life Chiropractic

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Patient Forms

Patient Forms

At Natural Life Chiropractic, all visits are recorded electronically.

All New Patients and Returning Patients who have not yet visited our new building:
Please fill out the
Patient Information Sheet,  Patient Intake and Meaningful Use forms.  Please submit forms to us a minimum of 24 hours before your appointment. NLC staff needs time to enter the information into our electronic system before you can be seen by Dr. Orwick. Please read through the consent forms and be prepared to electronically sign them in the office.
We apologize in advance for any questions that seem repetative; it relates directly to the complexity of our medical software.  Please take the time to answer all questions fully.  In the future, check-in is going to be such a breeze that we know you won’t mind a little work to prepare!  Please watch the 12 minute education video (Welcome Video) before your visit to get the most out of your facetime with Dr. Orwick.  She would much rather be able to focus on you and your individual issues than spend the time discussing general foundational information.
New Patients: Please be at the clinic 20 min. prior to your appointment time.
Please fill out These Forms
1.)
Patient Information Sheet
2.)
Patient Intake *
3.)
Meaningful Use Form

*Medicare patients: Please make sure your top three areas of complaint reflect the SPINE ONLY! (Neck, Upper Back, Mid Back, Low Back, Pelvis, Sacrum) Medicare only recognizes spinal issues.  Dr. Orwick will be happy to address any extremity issues at your first visit.

You can submit the above forms securely online, but you can also fill in the forms, print, and send by "Snail mail" if you prefer, to:
Natural Life Chiropractic 7235 N. Paseo del Norte, Tucson, AZ 85704
or by Fax – (520) 740-1776
or you may bring them to our office at least 24 hours before first visit.


If the required paperwork is not received 24 hours in advance, we will be happy to reschedule your appointment.


Please read the following forms and be prepared to sign an electronic version at your first visit.
3.)
HIPPA, Consent to Treat, Financial Agreement

 
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