New Patient Forms

Paperwork, from your couch.

Ten minutes now saves twenty at the front desk — a trade we recommend. Pick the form that fits your visit; it opens right on this page, and your answers go straight to our care team.

Please finish your paperwork at least 48 hours before your first appointment so our team can review it and be ready for you. Prefer paper? Arrive 20 minutes early and we'll get you set up.

Which form do I need?

For adults & children 9 and older

New Patient — Chiropractic

Complete this form before your first chiropractic visit. It covers your health history, current concerns, and care goals so your doctor walks in already knowing your story.

  • About 10 minutes
  • Insurance card (if using insurance)
  • List of current medications
Start this form
For children ages 1 to 8

New Patient — Ages 1 to 8 Years

Complete this form before your child's first chiropractic visit. It covers birth history, development, and what brings your child in — filled out by a parent or guardian.

  • About 10 minutes
  • Completed by parent/guardian
  • Pediatrician & medication info if applicable
Start this form
For infants

New Patient — Infant

Complete this short form before your baby's first visit. It covers pregnancy, delivery, feeding, and sleep — the details that matter for gentle newborn care. Not sure whether you need this one? Call or text us and we'll point you right.

  • About 5 minutes
  • Completed by parent/guardian
Start this form
For massage therapy patients

New Patient — Massage

Complete this form before your first massage with Rochelle, Marlene, or Kortney. It covers your preferences, pressure, and any areas to focus on or avoid — so your hour is exactly what you need.

  • About 5 minutes
  • Note any injuries or sensitivities
Start this form

Your form

Your answers are submitted securely to our patient system — not stored on this website.

Stuck on a question?

Skip it and mention it at your visit — or call or text us at (616) 396-6635 and we'll sort it out in two minutes.

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