At Dr. Connie’s Chiropractic and Acupuncture Center, 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.

Patient Health History Form

Download & Print Form


Informed Consent Form

Download & Print Form


Patient Health Information Consent Form

Download & Print Form


Stress Assessment

Download & Print Form


Toxicity Questionnaire

Download & Print Form


Cancellation Policy

Download & Print Form

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