Pointe Village Chiropractic offers our patient forms online so you have the option of completing at your convenience prior to your appointment.
- 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.
- All new patients and returning patients must fill out the new patient questionnaire, terms of acceptance and consent for treatment. In addition, those involved in a motor vehicle accident please complete the motor vehicle accident questionnaire. For those involved in a work injury, please fill out the Work related injury questionnaire.
- Fax or Email us your printed and completed form(s) or bring it with you to your appointment.
New Patient Questionnaire
Download & Print Form
Motor Vehicle Accident Questionnaire
Download and Print Form
Consent for Treatment
Download and Print Form
Terms of Acceptance
Download and Print Form
HIPAA Notice of Privacy Practices
Download & Print Form