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Request a Complimentary Consultation to Discuss your Health Concerns.

NOTE: Please call our front desk directly at (412) 828-0700 Ext. 10 to change any existing appointments.

ONLINE FORMS

Health Horizons offers our patient forms online so they can be completed at your convenience prior to your initial visit. This lets us know the history and current state of your health. What questions, concerns, and goals can we help you with?  Let us know!

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary forms, print them out and fill in the required information.
  • Most new chiropractic patients will need to fill out the General Chiropractic New Patient Case History.  The Pediatric, Auto Accident and Workers Compensation Case Histories should be filled out if appropriate for your case type.
  • Please note - HIPPA Confidentiality Agreement is needed for all case types.
  • Fax us your printed and completed forms or bring them with you to your appointment.

GENERAL CHIROPRACTIC NEW PATIENT CASE HISTORY

Download & Print Form


PEDIATRIC CHIROPRACTIC NEW PATIENT CASE HISTORY

Download & Print Form


AUTO ACCIDENT CHIROPRACTIC NEW PATIENT CASE HISTORY

Download & Print Form


WORKERS COMPENSATION CHIROPRACTIC NEW PATIENT CASE HISTORY

Download & Print Form


HIPAA CONFIDENTIALITY AGREEMENT - REQUIRED FOR ALL

Download & Print Form


Download the Free AdobeReader®