Beard Chiropractic Family Wellness Clinic offers our patient form(s) online so they can be completed in the convenience of your own home or office. You have two options to choose from. You can click on the appropriate History form below and print it out, then fill out the form at home and bring the completed form with you to your initial appointment. OR you can scroll back up to the top of this page and click on New Patient Center. Then scroll down to the appropriate Fill in on-line History form, fill it out and click the Submit button at the bottom of the form. This way the doctor will be able to review your information before you even arrive at the clinic for your first appointment. You will be asked to sign your form once you arrive for your appointment. Please email our office at [email protected] to let us know you have completed a form.
- 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!
History Form Birth to 2 years
History Form 3 to 12 years
History Form 13 years to adult