New Patient Forms
Stakes Chiropractic Center offers our patient form(s) online so they can be completed 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.
- If you do not have a printer we would be happy to provide the forms to you in the office. Please arrive 15-20 minutes before your scheduled appointment time if you wish to fill out paperwork in the clinic.
New Patient Health History Form
* Required *
This lets us know the history and current state of your health. What questions, concerns, and 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.