Westlake Chiropractic, PLLC 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.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
New Patient Health History Form - Required
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!
Registration [Auto Accident Patients]
Questionnaire [Auto Accident Patients]
Female_Health_History [XSRM,Brain Balancing Patients]
Male_Health_History [XSRM, Brain Balancing Patients]
Child_Health_History [XSRM, Brain Balancing Patients]
Food Journal: If you're coming in for Brain Balancing, please keep 7 day food and drink journal and bring it with you to your consult.
