Stakes Chiropractic Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • 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

– RequiredThis 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

 

Auto Accident Forms

If you’ve been in an auto accident, please print this form, complete it and bring it with you to our office on your initial appointment.

Download & Print Form

 

 Download the Free AdobeReader®