Touch of Life Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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.
All New Patients - Please fill out the forms below
Patient Case History Form - Download & Print Form
Functional Rating Index - Download & Print Form
Patient Consent Form - Download & Print Form
HIPAA/ Assignment of Benefits - Download & Print Form
Accident Injury Questionaire - Download & Print Form
Letter of Protection - Download & Print Form
Pediatric Questioniare - Download & Print Form