Garden Chiropractic offers our patient form(s) online so they can be completed 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.
• Fax us your printed and completed form(s) or bring it with you to your appointment.

This lets us know the history and current state of your health.   What questions, concerns, goals, regarding wellness can we help you with? Let us know!

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New Patient Neck and Back Index - Required

This questionnaire will give us  information about how your neck and back conditions affect your everyday life.    This assists the Doctor in effectively treating your specific condition.

New Patient Pediatric History & Financial Form

We see lots of infants, toddler and 'tweens in our office.  It's amazing how well kid's respond to chiropractic care. Give your kids the best gift ever..... the gift of health!  Bring them in for a complimentary spinal screening to see if they are a candidate for our care.

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Personal Injury Form - Required for Motor Vehicle Accident Cases

If you have recently been involved in a motor vehicle accident and are seeking care in our office for a Personal Injury, this form, in addition to our New Patient paperwork are required for treatment.

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Worker's Compensation Form - Required for Work Related Injury

If you have recently been injured on the job and are seeking care in our office under a Worker's Compensation claim, this form, in addition to our New Patient paperwork are required for treatment.

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Foot Leveler's Complimentary Orthotic Analysis - Optional 

We offer our patients a complimentary orthotic analysis with our Foot Leveler scanner.  Please fill out this form if you are interested in finding out if you are a candidate for orthotics.

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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!

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Symptom Survey

Given proper nutrition, the human body has an amazing ability to heal itself. If properly fed and given the right nutrients, the human body is designed to repair itself. To do so, we need to eat a healthier diet, exercise, and take high-quality supplements made from whole foods. Whole food supplements supply our bodies with nutrients we are not getting from our diet, all the vitamins, minerals, trace minerals, and phytonutrients that foods possess in a way that nature intended, in a whole food form.

We offer our patients a complimentary symptom survey to evaluate your current health status.  Please fill out and bring this form to your appointment so one of our doctors can talk to you about opitimal health through whole food supplementation.

Supplments are also available in vegan form.

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