New Patient Information Form
Please bring photo identification and your insurance card (if applicable) to your appointment. If you are a minor, please have a parent or guardian accompany you to your appointment.
These forms are required by the Health Information Patient Protection Act. If you have any questions as you read through these forms, please don’t hesitate to ask.
The entire team at Back-In-Action Chiropractic is focused on helping you to move better, feel better, and heal better.
Schedule your appointment today and experience the Back-In-Action difference!