NEW PATIENTS:
Blue Ribbon Chiropractic offers you these
new patient form(s) online so they can be
completed in the convenience of your own
home or office. These 3 forms are required
to be completed before your consultation
and exam can begin.
• If you do not already have AdobeReader® installed
• Bring the completed forms with you for your first
visit to our office. If you have any questions
regarding the forms, please call us at 404-444-4519.
New Patient Introduction Form - Required
This form gives us the history and current state of your health. Are there any questions, concerns or health care goals we can help you with? Just let us know!
HIPAA Form – Required
This form explains your rights to privacy and how your private information is protected.
Free Consult Treatment Form – Required
This form explains that any treatment beyond the consultation/exam is done with the understanding of your responsibility and permission.
