New Patient Intake Forms For Download
Below are the intake forms needed to get you started at Ball Chiropractic Center. After filling them out, please save a copy to your computer and then email the forms to Ball Chiropractic Center. Or, if you have access to a printer, you can fill them out, save/print and bring to your appointment.
In order to open the 3 intake forms below, please enter this password: chiropractic
• To download your first visit intake form click here: New Patient Form (NOTE: Password is chiropractic)
• If you seek treatment because you suffer from an auto injury click here: New Auto Injury Form (NOTE: Password is chiropractic)
• If you're under the age of 18 click here: Minor Patient Form (NOTE: Password is chiropractic) Please write-in Ball Chiropractic Center for name of agent. Leave the effective date BLANK.
• To review important Ball Chiropractic Center guidelines click here: Ball Chiropractic Center Policies
NOTE: If you have insurance or are seeing us regarding an auto accident or work injury there'll be additional forms for you to sign during your first appointment.
It's our pleasure to help you restore your health and happiness today. We look forward to meeting with you.