Prosper Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office. Please check out the "Payment Options" tab for more information on the insurance we accept.
- 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.
- Email us your printed and completed forms or bring it with you to your appointment.
New Patient Paperwork - Required
This lets us know the history and current state of your health.
*You're welcome to fill the forms out beforehand and email them to [email protected], or you can arrive 15 minutes early to fill them out in the office. If you are using insurance, and you are emailing your forms over, please also attach a picture of the front AND back of your insurance card.
Established Patient Paperwork
We are required to have updated information once a year. This ensures we have all current contact and health insurance information.
*You're welcome to fill the forms out beforehand and email them to [email protected], or you can arrive 15 minutes early to fill them out in the office. If you are using insurance, and you are emailing your forms over, please also attach a picture of the front AND back of your insurance card.
Car Accident Paperwork
If your appointment is related to a car accident, please complete the below paperwork AND the New Patient Paperwork. You must fill out before your visit and email back to [email protected] or print them and bring them with you. If you are unable to fill out and print/bring with you completed, you must arrive 30 MINUTES prior to your appointment time to fill out in the office.