Online Forms

Blue Mountain Chiropractic Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReaderĀ® 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.


New Patient Health History Form - Required

complete-new-patient-packet.pdf

For New Patients with Medicare, please fill out additional forms below: 

neck-pain-index-questionnaire.pdf

low-back-pain-index-questionnaire.pdf


This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!