Alexander Chiropractic Clinic 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) then hit the "SUBMIT" button at the bottom of the form. (If you do not hit the "SUBMIT" button, then the form will not be sent to our system.)
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!
Workers Compensation Questionnaire
Motor Vehicle Accident Questionnaire
Member Wellness Registration Form - Optional
This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!