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Dear New Patient:
We at Healthy Life Chiropractic would like to take this time to welcome you to the office and congratulate you on deciding to better your health.
We hope that you realize the importance of filling out the paperwork. The doctor must know everything about your past history in order to treat your condition correctly. It is very important to list all accidents from birth to present time. Please read over the paper work and fill it out in great detail. Please make sure not to leave any questions unanswered and, even if it does not apply to you, please mark a line through the space provided for the answer so we know you did see the question. The front desk staff is here to help you if you should have any questions regarding any thing on the paperwork.
We welcome you to the wonderful and rewarding world of Chiropractic and hope that we will fill all of your chiropractic needs.
Thank you for choosing Healthy Life Chiropractic.
Please download and print the following forms:
AGE 8 TO ADULT PRINT THE FOLLOWING:
New Patient Packet -  nppacket
HLC Office Policy- officepolicy
READ ONLY:
Notice of Privacy Practices(HIPPAA)- Notice of Privacy Practices.pdf
Open Door Policy - opendoor
AGE INFANT TO 7 YEARS OLD PRING THE FOLLOWING:
Pediatric History and Intake Form – childhistory
Print and sign (HIPPAA)- HIPAA and Open Door policy.pdf
HLC Office Policy- officepolicy
READ ONLY:
Notice of Privacy Practices(HIPPAA)- Notice of Privacy Practices.pdf
Open Door Policy - opendoor
PLEASE BE SURE TO ARRIVE 15 MINUTES EARLY FOR YOUR APPOINTMENT WITH YOUR FORMS COMPLETE.
If you have any questions about these forms, do not hesitate to call.
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