Online Forms

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 AdobeReaderĀ® 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!

Locations

HOURS OF OPERATION

Monday

8 am-11 am

3 pm-6 pm

Tuesday

Closed

Wednesday

8 am-11 am

3 pm-6 pm

Thursday

3 pm-6 pm

Friday

8 am-11 am

Saturday

Closed

Sunday

Closed

Monday
8 am-11 am 3 pm-6 pm
Tuesday
Closed
Wednesday
8 am-11 am 3 pm-6 pm
Thursday
3 pm-6 pm
Friday
8 am-11 am
Saturday
Closed
Sunday
Closed