New Chiropractic Patient Forms
We offer our paperwork online so you can complete it in the convenience of your own home. Please be advised, a current version of either Java® or Adobe Reader® is required to be able to submit the forms.
Essential Forms
Please fill out our essential forms and submit online before your visit.
Mind Fit Forms
The following forms are available for you to download, print, and bring with you on your first visit. This will significantly decrease your amount of wait time in the office.
Shape Reclaimed Forms
The following forms are available for you to download, print, and bring with you on your first visit. This will significantly decrease your amount of wait time in the office.
Shape Reclaimed Agreement for Weekly Consultation
SHAPE Informed Consent & Acceptance of Responsibility 2016
Free AdobeReader®
Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.
Spinal problems rarely get better on their own. Call our St. Charles chiropractic office today to get started with chiropractic care!
Free Java®
If you do not have a current Java® installed on your computer, click the Java® image to download for free.