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Wellcare Chiropractic would like to make the enrollment process as easy as possible for our new clients. Please use the forms listed on the left to print out the documents needed to start your care. Bring the completed forms to our office and it will facilitate our ability to help you!

  • 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.

Chiro Intake Paperwork - 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!

New Patient Intake Form

EHR Form

Bournemouth Neck Form

Bournemouth Back Form

Living Well Intake Paperwork

Download & Print Form

HIPPA Compliance Form

Download & Print Form

Patient Payment Policy

Download & Print Form

Download the Free AdobeReader®