Online Forms

Total Life Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or 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.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form

New Patient Forms

Download & Print Form

Minor Consent Form

Download & Print Form

Auto Injury History Form

Download & Print Form

Low Back Questionnaire Form

Download & Print Form

Neck Disability Form

Download & Print Form

School Sports Physical Form

Download & Print Form


Download the Free Adobe Reader®

Location

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Business Hours

Our Regular Schedule

Monday:

By Appt.

Tuesday:

By Appt.

Wednesday:

By Appt.

Thursday:

10:00 am-6:00 pm

Friday:

10:00 am-2:00 pm

Saturday:

By Appt.

Sunday:

Closed