Patient Forms


First Visit Form

Please download and fill out this form before your first visit!

CHIROPRACTIC INTAKE FORM

For infants (under 1 year old), please fill out the Infant Form.

Download Infant Form

NAET First Visit Form

NEW PATIENT HISTORY FORM

Address

43 North 300 West Suite B,
Washington, UT 84780

Phone

435-986-1021

Office Hours

Monday  

8:00 am - 5:00 pm

Tuesday  

8:00 am - 5:00 pm

Wednesday  

8:00 am - 5:00 pm

Thursday  

8:00 am - 5:00 pm

Friday  

8:00 am - 4:00 pm

Saturday  

Closed

Sunday  

Closed

Contact Us