Accessibility View Close toolbar

Online Forms

Healing Hands Chiropractic Center 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. There are 2 separate forms which need to be completed. The first one is a basic new patient intake form and health history. The other form is a symptom questionnaire regarding your complaint. If you have more than 1 complaint, please use a separate form for each of your complaints. This download allows 2 different complaints. However, your complaints will be evaluated separately and require additional time and separate appointment for each complaint. We will address your most severe or concerning complaint first. Please understand, some insurances do require specific questionnaires for pre-certification. If needed, these will be provided to you upon arriving at the office.

Download & Print Form

Symptom Questionnaire Form - Required

Download & Print Form

Download the Free Adobe Reader®

Newsletter Signup

Our Locations

Office Hours

All Hours By Appointment.


9:00 am-6:00 pm


9:00 am-7:00 pm


9:00 am-6:00 pm


9:00 am-7:00 pm


9:00 am-1:00 pm