Applied Health Associates offers our patient form(s) online so you can complete it 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.
ADULT New Chiropractic Patient Intake Form (age 11+)- Please complete if you are paying cash or using health insurance
WORKERS COMP. New Patient Intake Form - Please complete if we are billing L&I or your company's self insurance for an on the job injury.
MOTOR VEHICLE New Patient Intake Form - Please complete if you were injured in an auto accident.