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Online Forms

Core Health Chiro offers our practice member form(s) online so they can be completed it in the convenience of your own home or office.

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  • Download the necessary form(s), print it out and fill in the required information. All adult forms are not to be printed.  You may submit them online upon completion.

Adult Health History Form - Required (Adults 18 y.o.a. and older)

 

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!

No printing or downloading needed!  Click Here to access your initial paperwork online.

Your cooperation of completing the online forms prior to your initial consultation is greatly appreciated. 

We are honored to be on this health journey with you!

This lets us know the history and current state of your son/daughters health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

No printing or downloading needed!  Click Here to access your initial paperwork online.

ATTENTION:  Parents or Legal Guardians, Click Here to print out the Consent to Treat a Minor Form.  Please complete the paperwork before your initial appointment.

 


New Born, Infant, and Toddler Health History Form - Required (Infant to 5 y.o.a)


This lets us know the history and current state of your son/daughters health. 

What questions, concerns, goals, regarding wellness can we help you with? Let us know!

ATTENTION:  Parents or Legal Guardians!  The following forms should be printed out individuallyForm 1, Form 2, Form 3.  Please complete the papwork before  your child's inital appointment.

 



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