Essential New Patient Forms for Chiropractic Care at New Life Family Chiropractic Center
Your first visit is simple. Choose your patient type below and complete your forms before arriving. We’ll help guide you through every step.
New Patient
Online Special!
Take advantage of our $50 special for new patients. Includes consultation, examination, and any necessary x-rays as determined by the doctor.
* Not valid with Medicare, Medicaid, or other insurance plans. Offer applies to new cash-paying patients only. Restrictions may apply.
Call 219-769-5433Choose Your Patient Forms
Select the option that best describes your visit.
Adult Patient
Forms Available
Spanish Forms
Forms Available
Child Patient
Forms Available
Pregnancy
Forms Available
Adult Patient Forms
Please complete the required forms before your first visit. If you have questions, our team is happy to help.
Spanish Patient Forms
Please complete the required forms before your first visit. If you have questions, our team is happy to help.
Child Patient Forms
Please complete the required forms before your first visit. If you have questions, our team is happy to help.
Please complete one form for each child receiving care.
Pregnancy Forms
Please complete the required forms before your first visit. If you have questions, our team is happy to help.
What Happens Next?
Patients are often nervous about forms. Here is what you can expect:
Forms
We review your health history and paperwork prior to your session.
Consultation
Meet directly with your doctor to discuss your specific wellness goals.
Examination
Complete your thorough, comfortable chiropractic examination.
Care Plan
Review your customized care options and next steps to recovery.
Before You Arrive
Follow these simple steps to ensure a smooth first visit:
- Complete your online forms
- Bring questions or concerns
- Arrive 10 minutes early
- Meet your chiropractic team
