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Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. Please contact our Las Vegas chiropractic office at (702) 256-8686 if you have any questions or to schedule your appointment.

*Additional forms may be required at first visit.


Health History

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

pdf iconDownload & Print Form ~ Cash-Insurance New Patient Forms

pdf iconDownload & Print Form ~ Medicare New Patient Forms

pdf iconDownload & Print Form ~ Pediatric New Patient Forms

pdf iconDownload & Print Form ~ Personal Injury New Patient Forms

pdf iconDownload & Print Form ~ Pediatric Person Injury New Patient Forms



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Get adobe readerEach form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.