Advantage ChiroCare Forms

Advantage ChiroCare now offers our patient forms online so they can be completed in the convenience of your own home or office before you even arrive at our chiropractic office. Please print and fill out these forms prior to arriving for your appointment to speed up your service.

Remember to bring in the form(s) with you to your appointment.

New Patient Intake Form

All new patients are required to complete this form to let us know your health history and the current state of your health. This gives us a little information about you and your health history.

Informed Consent for Chiropractic Care

This allows you to give us consent to examine, touch and treat you.  Furthermore, you have the right to know how we discuss medical treatments to you, prior to providing care. This includes the type of treatment, potential benefits and risks, and other treatment options.

Financial Agreement

Payment is expected at time services are rendered unless a signed financial agreement has been prepared in advance with our Business Manager. Payment may be made by cash, check, Visa and MasterCard.

HIPAA Privacy Policy (read only, no need to print)

This is our HIPAA office policy. It does *not* need to be printed or filled out, please read and fill out the form below.  The form below is where you sign saying you read this form and acknowledge and understand this policy.

HIPAA Consent

Signing this form indicates you read and understood the abovementioned document.  It is patient consent for use and/or disclosure of protected health information to carry out treatment, payment, and, healthcare operations.