Chiropractic Patient Forms Newport Beach

Completing the form before you arrive means your first visit starts with the examination rather than a clipboard. It takes ten to fifteen minutes and it goes straight into our system.

Which Chiropractic Patient Forms Newport Beach patients need

There are four. Which of the Chiropractic Patient Forms Newport Beach patients need depends on who is coming and why.

New patient intake

For adults attending for the first time. The longest of the four, and the one most people need.

Pediatric intake

For children. Shorter, and asks about birth, milestones and the specific reason for the visit.

Personal injury

After a collision. Captures the detail of the accident that both your care and any claim will need, so it is worth doing while it is fresh.

Spanish new patient intake

The same intake in Spanish. The submit button on that one is labelled Entrega and appears at the very end.

Filling them in

Each form starts with a consent tick box, and no questions appear until it is ticked. If a form looks empty, that is why. They do not save part-way, so set aside the time rather than starting and coming back.

Signatures

There are signature boxes to sign with a finger or a mouse, and a printed name and email beside each. All of them have to be completed or the form will not submit.

If you get stuck

Call (949) 250-0600 and we will take your details over the phone, or you can complete a paper form when you arrive. Neither is a problem.

Bring these with you

Any recent imaging or reports, a list of your current medications, and your insurance card. None of it is essential and all of it saves time.