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Online Forms

Online Forms 

Active Chiropractic Healthcare offers our patient form(s) online so they can be completed it in the convenience of your own home or office. Please keep in mind that certain insurance companies may require other forms which can be completed at the time of your visit.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form

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