For your convenience, we have attached the forms you will be asked to complete and sign when you arrive for your first appointment. Please print these forms and complete them in advance. Doing so will save time and paperwork for you on the day of your appointment.
The first form is the Patient Intake Form, this form will need to be completed, signed and dated.
The second form is Patient Health Questionaire (PHQ) Form , this form needs to be completed, signed and dated.
The third form is the 3 Metabolic Assessment Form, this form needs to be completed and dated. This form is only if you are seeing the doctor for a nutrition visit.
The two forms below are both for HIPAA and need to be filled out.
Complete HIPAA document - This is the complete HIPAA document for reference. You do not need to print this out.
If you have questions about the forms, leave the areas in question blank. We will go over the forms with you in detail when you arrive for your appointment. For your privacy, we ask that you do not complete these forms on-line.
Incomplete new patient forms will cut into your appointment time so please be sure to fill out your forms prior to your scheduled appointment at Healing River Chiropractic.
Feel like you need help keeping your heart healthy? Three key supplements can help you, according to recent research from Brown University. Omega-3 fatty acid, folic acid, and coenzyme Q10 were all found to assist in heart health, researchers concluded.
During the month of February, Healing River Chiropractic will be offering all three supplements at a 20% discount.