At Live Well Chiropractic and Allergy Relief, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms or you may bring them during your visit.

New Patient Health History Form

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!

Download & Print Form

This is your Self-Evaluation Form the doctor needs to assess your Chiropractic Needs:

Download & Print Form


Allergy Relief Intake Form

Download & Print Form


Established Patients:

If you haven’t been to our office in some time, we may ask you to fill this form out and bring it to us to update our records:

Download & Print Form

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