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Online Forms

We offer our paperwork online so you can complete it in the convenience of your own home.


New Patient History Form – Adult

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

Chiropractic Fee Schedule and Informed Consent

This lets you know our fees, informs you of what to expect and gives us consent to proceed with your assessment and treatment.

Download & Print Form


New Patient History Form – 14 years and under

This lets us know about your child’s health history.

Chiropractic Fee Schedule and Informed Consent

This lets you know our fees, informs you of what to expect and gives us consent to proceed with your assessment and treatment.

Download & Print Form


Massage Therapy Case History Form

This lets us know about your health history prior to Massage.

Massage Therapy Fee Schedule and Informed Consent

This lets you know our fees, informs you of what to expect and gives us consent to proceed with your massage.

Download & Print Form


Free AdobeReader®

Get adobe readerEach 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.

Contact Us


Westside Family Chiropractic | (780) 486-4080