NEW PATIENT PAPERWORK

WELCOME TO NATURAL LIFE CHIROPRACTIC

NEW PATIENT PAPERWORK

Please fill out ALL FOUR forms 48 hours in advance of your appointment.

The password for our secure forms is Natural123, please note, the 'N' is capitalized.

We record all visits electronically at Natural Life Chiropractic. In order to put you into our computer system, please fill out all four forms 48 hours in advance of your first appointment or we will need to reschedule your appointment to a later date.

Please arrive 20 minutes before your first appointment to sign paperwork and get checked in. Thank you!

Patient Information Sheet

1.

Health History

2.

3.

Intake Form*

4.

Meaningful Use

To optimize your time with Dr. Orwick on your 1st visit, she asks you to watch this welcome video before your appointment to get acquainted with how chiropractic care works and the unique therapies & techniques she uses.