New patient forms
Getting the most out of your first visit starts before you arrive. Please review the forms below, complete the ones that apply, and bring them with you.
Chiropractic Confidential Health Information
PDF · 4 pages
Your basic health and contact information — the first form to complete before your visit. Everything you share is kept confidential.
Female Health History and Neurotoxic Questionnaire
PDF · 3 pages
A detailed health history for women: symptoms, medical history, lifestyle, and neurotoxic exposure. Complete the version that applies to you.
Male Health History and Neurotoxic Questionnaire
PDF · 3 pages
A detailed health history for men: symptoms, medical history, lifestyle, and neurotoxic exposure. Complete the version that applies to you.
Clinical Assessment
PDF · 13 pages
A comprehensive whole-person symptom questionnaire Dr. Jennings uses to understand what your body is telling us — covering energy, digestion, drainage, immune history, and more — before your first visit.
Pediatric Health History
PDF · 2 pages
A health history for children, completed by a parent or guardian on the child's behalf.
Before your first visit
Print and complete any forms that apply, and bring them to your appointment. Prefer not to print? No problem — we can complete them together at your visit. Please don't email completed forms; bring the paper copy so your health information stays private.