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FORMS - Printable Office Forms

YOUR FIRST VISIT
Once you call our office to schedule your first appointment you can fill out the “case history” in OFFICE FORMS below. You may also print this form to complete later. We also have them in the office should you need some assistance doing so. Once you arrive in the office you will be greeted by Jan at the front desk. She will receive your form, copy necessary insurance information and identification, review payment options, and prepare your file. You will then review your case history with Dr. Griswold. |
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Once he has determined if yours is a chiropractic case, a thorough examination will be performed. If x-rays are indicated, they will be taken now. The information gathered in the exams and imaging will be used to determine an appropriate course of action for your condition. Your first adjustment may be given now. After the adjustment, further recommendations will be given for further care, appropriate use of ice or heat and advice on what you can expect to feel before your next adjustment.
CASE HISTORY FORM
For new patients on your first visit. You will also need to sign the privacy policy form.
Click Here to Print Page 1
Click Here to Print Page 2
PRIVACY POLICY FORM
For all patients to sign. This form is mandated by the government. It demonstrates that you are aware of our privacy policy and that we are protecting your health care information.
Click Here to Print This form
NEW INJURY UPDATE FORM
For established patients who have not been in for a while or have had a recent injury. It updates the doctor on your history, address changes, marital status and job changes.
Click Here to Print This form
AUTO / WORK RELATED ACCIDENT
If you were involved in an auto or work related accident, please fill out the forms below.
Click Here to Print Page 1
Click Here to Print Page 2
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