New Patient Forms


Welcome! Allow us to guide you through the steps in getting started on your journey to health and healing through our office.

We know that starting something new for the first time can be stressful. There’s paperwork to complete and new people to meet. Our goal is to make your visit to our office stress-free and comfortable. When you first enter our doors, you’ll immediately understand what we mean. You will love our space: the look, the smell and the feel. We want you to feel like you’re home and safe.

You will also enjoy reviewing the Chiropractic Success and miracle stories in this area of our website. Reading about positive experiences from others can create a sense of ease and relief.  Our patients have agreed to share their experiences as a way of giving others hope.

For your convenience, we have the forms below. FYI: These are not short, so please complete them before arriving for your first appointment.


Chiropractic Online Forms

To download & return via email:
New Patient Form – Adult
New Patient Form – Pediatric
*Send to

Download Instructions:
To open the forms on your computer, click on the appropriate link above, opening the form with your free Adobe Reader. The form MUST BE downloaded first, then completed electronically, saved and emailed to or your changes will not be saved.

Download the most up to date version of Adobe Reader here.

To print & bring along completed to your appointment:
New Patient Form – Adult
New Patient Form – Pediatric


Payment Options

Healing Touch Chiropractic believes in the value of true health care for you and your family. Because of our values, creating a pricing structure is important so that every member of the family can be checked on a regular basis. We offer many cash-based plans utilizing the incredible benefits of individual and family savings plans. They are customized based on our recommendations and your specific goals for your family.

No matter what the situation, we always work hard to make the care affordable for our patients, getting them what they need at all times. We have an amazing office manager who helps with this each step of the way.

Privacy Policy 

– What to Expect
– Chiropractic Success