Lee Chiropractic offers our patient form(s) online so you can complete 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 - 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!

General New Patient Information Form

New Patient History Form

 

 


 

 

Auto Injury Questionnaire - Optional

Download & Print Form

 


 

 

Your privacy is important to us. All information received in the above forms and through other communications is subject to our Patient Privacy Policy.


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