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Online Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use.

Call our Fair Oaks chiropractic office or click here to email us your questions.


New Chiropractic Patients:

Please complete & return at least 48 hours before your appointment.

New Patient Instructions (please read carefully so you are prepared for your first visit)

New Patient Confidential Health History Information

Systems Survey (you will receive a secure email login from Michelle, or print from link below)

New Nutrition Patients:

Please complete & return at least 48 hours before your appointment.

New Patient Instructions  (please read carefully so you are prepared for your first visit)

New Patient Confidential Health History Information

SP Toxicity Questionnaire Online Fillable Form complete online, SAVE as pdf to your desktop and email to us

SP Stress Assess Online Fillable complete online, SAVE as pdf to your desktop and email to us

Sleep Questionnaire Online Fillable Form complete online, SAVE as pdf to your desktop and email to us

SYSTEMS SURVEY (NOTE: CROSS OUT symptoms don’t apply. Do NOT leave anything blank.)

OR (preferred method) receive a secure email login by Michelle to complete online

Additional forms as needed

Social Adjustment Rating Scale – Online Fillable

Medicare Patients:

MEDICARE ABN FORM 2016