Patient Forms

Welcome to our practice!

We are so glad that you chose Life Care Chiropractic and Wellness to help you get back to feeling your best. For your convenience, we’ve provided the forms needed for your first appointment. Please download the appropriate patient form(s) and bring them with you on your first visit to help expedite your check-in process.

All patients must complete a New Patient Form.  PLEASE NOTE:  If your visit is related to a workman’s comp claim or personal injury related to a motor vehicle accident, you will also need to complete either of these forms. 



All of the PDFs below are interactive. Open the PDFs in your PDF reader program*, type your responses into the highlighted fields and print! There are only a few areas that cannot be completed through this process (e.g. the diagrams where you tell us where your pain is located).  If you’d prefer to print the forms and complete all of them by hand, that’s fine.

If you do not have a PDF reader, you can download Adobe Reader free by clicking here.

*Interactivity does not work within your browser’s window. You must open the form in a PDF reader program. Use the link above to download one free today.