Patient Intake Forms Patient rights and responsibilities Read this form to understand your rights and responsibilities as our patient. Download Financial policy Download and print this form. Bring the completed form to your first visit. Download HIPAA notice of privacy practices Please read this document to understand how medical information about you may be used and disclosed. Download Notice of privacy practices receipt Download and print this form. Bring the completed form to your first visit to acknowledge your understanding of our privacy practices. Download New patient registration Download and print this form if you are a new patient. Bring the completed form to your first visit. Download New patient history Download and print this form if you are a new patient. Bring the completed form to your first visit. Download Referral survey Download and print this form if you are a new patient. Bring the completed form to your first visit. Download Informed Consent for Chiropractic Care Download and print this form if you are a new patient. Bring the completed form to your first visit. Download
