Standridge Chiropractic offers our patient form(s) online so they can be completed it 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.
New Adult Patient Health History Form - Required
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!
New Pediatric Patient Health History Form - Required
This lets us know the history and current state of your child's health. What questions, concerns, goals, regarding wellness can we help them with? Let us know!
Auto Accident Form
This form allows us to get everything we need concerning your auto accident in order to communicate with the adjusters and attorneys. Filling this out completely can make all the difference to your case.
We offer affordable high school physicals and standard physicals at only $20.00. This is the typical form you should bring in with you.
United ACN Form
Certain United Healthcare plans are regulated by ACN. In order to be pre-approved for chiropractic care, these forms will have to be completed for us to submit to them.
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