Longmont Chiropractor | Longmont chiropractic care | CO | Online Forms

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(720) 340-4435

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Online Forms
 

1st Day Paperwork - Required (Adult)

Please fill these out as complete as possible as the doctor needs to know your history and current sick/health status.

Patient Application Form

HIPPA Privacy Consent Form

Metabolic Assessment Form

Neurotransmitter Assessment Form

Brain Function Assessment Form

Brain Health and Nutrition Assessment Form

 

If you suffer from more than 3 symptoms please fill out our additional symptoms form:

Additional Symptoms Form

 

If you have suffered from an automobile accident please fill out this additional form:

Automobile Accident Form

 

1st Day Paperwork - Additional For Children

Informed Consent to Evaluate a Minor Form

Neurotransmitter Assessment Form (Child)

 

Answers! offers our patient form(s) online so they can be completed 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.