WARNING

You are using an outdated browser. Please upgrade your browser to improve your experience.

Close [x]

First Choice 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 Patient Forms - 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!

Please download and print the following forms:

WELCOME FORM (Side 1)WELCOME FORM (side 2) 

RECEIPT OF PRIVACY PRACTICES 

FINANCIAL POLICY

CONSENT TO TREAT(Side 1) , CONSENT TO TREAT (side 2)

IF YOU HAVE BEEN IN AN AUTO ACCIDENT PLEASE PRINT THE FOLLOWING FORMS ALSO:

 AUTO ACCIDENT FORM (Side1), AUTO ACCIDENT FORM (side 2)


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

New Patients Welcome

THIS ---->https://drbrettdc.com/new-patient-center/online-forms.html

Office Hours

DayMorningAfternoon
Monday9:00am - 12:00pm1:00pm - 7:00pm
Tuesday9:00am - 12:00pm1:00pm - 5:30pm
Wednesday9:00am - 12:00pm1:00pm - 5:30pm
Thursday9:00am - 12:00pm1:00pm - 7:00pm
Friday9:00am - 12:00pm1:00pm - 5:30pm
Saturday9:00am - 12:00pmClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00am - 12:00pm 9:00am - 12:00pm 9:00am - 12:00pm 9:00am - 12:00pm 9:00am - 12:00pm 9:00am - 12:00pm Closed
1:00pm - 7:00pm 1:00pm - 5:30pm 1:00pm - 5:30pm 1:00pm - 7:00pm 1:00pm - 5:30pm Closed Closed

Newsletter Sign Up