Welcome to Healthy Life Chiropractic and congratulations on deciding to better your health without the use of drugs or surgery! 

The information request on these forms enables us to tailor your care to best suit your needs.  The doctor must know everything about your past history in order to address 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. If a question does not apply to you, please mark it with "N/A". Remember, we are always here to answer any questions you may have!


Therapy Patient Intake Forms

1st Time Massage Neuromuscular Download & Fill Intake Form

1st Time Reflexology Download & Fill Intake Form

1st Time Ionic Foot Bath Download & Fill Intake Form