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New Patient Forms

We offer our paperwork online so you can complete it in the convenience of your own home.


Patient Intake Form

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

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Wellness/Nutrition Patient form

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Informed Consent for Chiropractic Care

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Release of Records

If you have received chiropractic care elsewhere, or have medical records we will need from another practitioner, please sign this release.

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Chiropractic Form

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Acupuncture Questionnaire

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Our Office Policy

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Our HIPPA Policy

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Shape Reclaimed Forms

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Free AdobeReader®

Get adobe readerEach form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.


Have questions?  Call our Simsbury Chiropractic office! (860) 651-3355

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