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New Patient Forms

We offer our paperwork online. If you would like to save ten minutes, please fill out the paperwork and bring it with you to your first appointment.

New Patient Intake Paperwork

This lets us know what’s happened, but perhaps more important, where do you want to take your health? (Please note that auto accidents use a different form. See below.)

pdf icon Intake Forms Cummins Chiropractic

Auto Accident New Patient Intake Paperwork

If your health issue is the result of a car accident, we need some additional information.

pdf iconAuto Accident Forms Cummins Chiropractic


Massage Patient Intake Paperwork

If you desire massage services and are not a current chiropractic patient, we need some additional information.

pdf icon Massage Intake Cummins Chiropractic


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