Get Download And Print Initial Adult And Adolescent Intake Form

Filling out the Download And Print Initial Adult And Adolescent Intake Form is an essential step in receiving chiropractic care. This guide provides clear and structured instructions to help you complete the form with confidence and ensure all necessary information is accurately provided.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to access the initial adult and adolescent intake form. This will allow you to open the form in your chosen application.
2. Begin entering your personal details in the 'Personal History' section. This includes your full name, address, and contact information. Ensure you double-check the accuracy of the email and phone numbers, as this information is crucial for future communication.
3. Provide information regarding your marital status, number of children, occupation, and your employer. If you have previous chiropractic care, indicate whether you've had past treatments, the date of your last visit, and results of that visit.
4. In the 'Current Health Concerns' section, indicate any major or minor health issues you are currently experiencing. Answer the specific questions to help provide a clearer understanding of your health status.
5. Use the body diagrams provided in the form to mark any pain or discomfort you feel. Ensure to describe each type of problem accurately and check any relevant diseases you have experienced in the past.
6. Address the events and habits section, detailing any significant accidents, hospitalizations, or ongoing stressors affecting your health. Your responses here will provide valuable insight into your overall well-being.
7. Finally, review the 'Family History' and 'Why Chiropractic Care' sections to indicate any relevant familial health issues and your motivations for seeking chiropractic care.
8. Once all sections are completed, thoroughly review your form for accuracy and completeness. Save any changes made. You can then download, print, or share the form as necessary.

Get started now by filling out your document online to enhance your chiropractic care experience.