New Patient Paperwork

Peltier Family Chiropractic & Wellness Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

• All forms are PDF files. You will need AdobeReader® to view them.
• If you do not already have AdobeReader® installed on your computer,
  Click Here to download.
• Print the below documents and fill them out. Bring them with you to your first appointment and you can save yourself the time and hassle of filling out paperwork right before your appointment time.
• If you are bringing children under 16, make sure you print the Initial Child Introduction page for them!
• If you have questions about the first appointment click or tap "First Visit".