Chaney Chiropractic Clinic provides our forms online so that you can fill them out in the comfort of your own home and at your convenience. You can download the form and complete it either using your computer or print and complete it by hand. Once completed, you can submit the form on our website using the submission form on this page, or you can print the PDF and bring it with you to our clinic.
Important: To complete the fill-able PDF on your computer, follow these steps:
- First DOWNLOAD the PDF to your computer
- Open downloaded PDF and fill in all fields
- Save completed form
- Submit using the “online form submission” on this page
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. Fax us your printed and completed form(s) or bring it with you to your appointment.