New Patient Paperwork
The Gateway Clinic of Chiropractic 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.
- Fill out the first form, hit submit, and it will be sent to our office. Please do this form before you come to your first appointment.
- Download, print, and fill out the optional registration form, if desired.
- Fax us your printed and completed form or bring it with you to your appointment.
New Patient Health History Form – Required
Please use the link below to fill out all new patient paperwork. The information will be transferred securely to our office for your first appointment. If you cannot load and complete the paperwork ahead of time, please be advised that you will need to fill it out electronically when you arrive for your first appointment.
Member Wellness Registration Form – Optional
You can fill out this form to sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor. We look forward to making your experience with our office and website more interactive and rewarding!