Intake Forms

We always accept new patients in our office! We are excited to meet you, and it is our passion to get to the root of your problem and help you achieve your goals. 

To save time, please fill out your intake forms in advance. You can either bring them with you, or email them to: frontdesk@lifelonghealthchiropractic.com

No special attire is required for your new patient appointment. Please arrive 15 minutes early so we can process the necessary paperwork, and plan to be in the office for one hour during your initial consultation.

 
New Patient Form for Children Under 12
 
New Patient Form for Adults