Back In Harmony Chiropractic and Wellness Center 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.
Chiropractic - New Patient Registration Forms
(Please print forms in color)
Download & Print Form
Acupuncture - New Patient Registration Forms
(Please print forms in color)
Download & Print Form
Personal Injury Registration Forms
(Please print forms in color)
There are two sets of forms you will need to print. Please download and fill out these forms if you are seeking treatment in our office directly relating to your personal injury.