Blue Mountain Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.
- 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.
- Bring your completed form(s) with you to your appointment.
New Patient Health History Form - Required
Download & Print Form or Fill-Out Online Forms
For New Patients with Medicare, please fill out additional forms below:
neck-pain-index-questionnaire.pdf or Fill-Out Online Forms
low-back-pain-index-questionnaire.pdf or Fill-Out Online Forms
2022-abn.pdf or Fill-Out Online Forms
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!
