KHALSA CHIROPRACTIC                                

              HANDS ON HEALING  
          Home <> Dr. Mha Atma's Health Newsletter <> Self Help Articles <> Patient of the week

MENU
> About
> Meet The Doctor
> Meet The Team
> Testimonials
> Upcoming Schedules
> Contact Us

 


    New Patient Forms   

After you have called our office and made an appointment for your first visit, you can complete ahead of time the paperwork needed to give our office and the doctor the information we need to help you.  Click on the forms you need, print them, answer all questions as completely as possible, and bring them with you on your first visit.

 

To be completed by all new patients

New patient confidential patient information form

 

To be completed by all new patients under age 18 (or by their parents)

New patient confidential patient information form for children (under age 18)

 

To be completed by patients who have been injured in an auto accident

or other injury which may involve 3rd-party liability.

Personal injury questionnaire

 

To be completed by patients who have been injured on the job

Worker's compensation questionnaire

 

Get Adobe Reader

    

 

© 2002-2005 Khalsa Chiropractic. All rights reserved. Designed by Terry Little