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Wellness Center, Inc. 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.

Chiropractic Patients

Application For Treatment
Download & Print Form

HIPAA Acknowledgement
Download & Print Form


Confidential Patient History
Download & Print Form

Metabolic Assessment
Download & Print Form

Download & Print Form

Patients Inactive for more than 12 months

Patient Update
Download & Print Form

Download the Free AdobeReader®