Online Forms

Foundation Chiropractic Clinic 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. 

  • 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


Download & Print Form



Intake Form - Required

Download & Print Form Front 

Download & Print Form Back


Low back pain - Required


Download & Print Form



Pain drawing - Required


Download & Print Form



Neck pain - Required


Download & Print Form



Professional Image - Required


Download & Print Form



Financial Policies - Required


Download & Print Form


Download the Free AdobeReader®

Location

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Office Hours

Our Regular Schedule

Monday:

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Tuesday:

By Appt.

By Appt.

Wednesday:

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Thursday:

By Appt.

By Appt.

Friday:

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Testimonials

Reviews By Our Satisfied Patients

    Everyone remembers my name, knows what I need, and Dr. Mike really takes time to treat even the smallest issues so I can get back to living pain free.

    ~April Costin