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.
- 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.
*You're welcome to fill the forms out beforehand and email them to firstname.lastname@example.org, 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.