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? Please see what forms you need below.
Please complete these forms no less than 24 hours prior to your appointment. Thank you.
Every new patient please fill out: NEW PATIENT OFFICE PAPERWORK (HIPAA, Office Policy)
Plus whatever health history relates to why you are coming to Health Horizons:
CHIROPRACTIC NEW PATIENT HEALTH HISTORY If you are filling this form out for a child please also fill out Consent to treat a minor (needed if patient is under 18)
MASSAGE NEW PATIENT HEALTH HISTORY
ASSISTED LYMPHATIC THERAPY NEW PATIENT HEALTH HISTORY
FUNCTIONAL NEUROLOGY NEW PATIENT CONSULTATION SURVEY
NUTRITION CONSULTATION QUESTIONNAIRE
Instructions for filling out the Chiropractic Health History for children:
- Click on the link for the Chiropractic New Patient Health History.
- Fill in patient's name and address.
- If you are filling this out for an infant/child, please answer (YES) to the question 'Is this condition associated with a child developmental concern or condition?' It will then bring up the Pediatric intake questions for you to fill out.
- Finish filling in your demographics.
- When it comes to the question 'What is the MAIN reason for your visit?' please use the drop-down arrow to select the option that best pertains to your case type. If you are coming for an auto injury case, choose (Auto Accident). It will then bring up questions related to your auto accident.
- Finish the rest of the form, sign your name and click submit.