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Connect With Us

Integrated Health Center offers our patient form(s) online so they can be completed it in the convenience of your own home or 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.
  • Email your printed and completed form(s) to [email protected] or bring it with you to your appointment.

New Patient Chiropractic Forms  - download and print

New Patient Intake Form

Workers Compensation New Patient Form

Auto Accident Intake Form


Acupuncture Intake Form

Acupuncture Intake Form


Nutrition Evaluation Forms

Symptom Survey

Diet Diary

Toxicity Questionaire


Massage Therapy Intake

New Patient Massage Form


Psychotherapy Intake - please complete one form for each person seeking therapy

Adult Intake

Child Intake

Family Therapy Intake

        Divorced / Separated Parents Agreement

Cranial Electrotherapy Intake


Salt Therapy Intake

Salt Therapy Informed Consent


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



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