The Intake Form is valid for both new Chiropractic patients and new Laser Therapy patients.

If we haven’t seen you in some time, we may ask you to fill out an intake form.  This is to ensure that all information is current.

Please print the form and bring it with you to your appointment.

If you don’t have access to a printer, please advise our reception staff so we can make alternate arrangements.  You may need to arrive early for your first appointment so you have time to fill out the forms on site.

Intake Form Sheppard Chiropractic