Online Forms

Online Forms 2017-08-11T06:35:54+00:00

Bales Family Chiropractic offers our patient form(s) online so they can be completed 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.

New Patient Health History Form – Required

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

Pain Diagram

This form should be filled out so we have a better understanding of the areas where you are experiencing pain.

Download & Print Form

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Call Now – 705.434.0372