Sunset Hills Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
- 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.
New Patient Health History Forms - Required
These forms let us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
1. Intake Form:
This is a link to fill out our online intake paperwork.
2. HIPAA & Medications and Surgeries
This document provides us additional information about your medications and surgeries. Please print, fill out, and bring with you to your appointment.
3. Oswestry Pain Scale Index:
Please select either the Low Back or Neck index from below (based on your current condition) and fill out the questionnaire to the best of your ability. Please print, fill out, and bring with you to your appointment.
4. Pediatric Patient Intake Form
For our new patients under age 13. It's amazing how chiropractic care can help children during their early years. If you would like more information about chiropractic care for children give our office a call!
5. Auto Accident Forms - Required for Personal Injury Cases
If you have sustained any type of pain from a recent motor vehicle accident, chiropractic can help! Our doctors can find the underlying injury and work with you to create a customized treatment plan.
If you have recently been in a car accident and are wanting to have our Doctors give you an evaluation, please fill out the forms below.
6. Massage Client Intake Form - New Massage Clients Only
If you are coming to our office solely for our therapeutic massage services, please fill out this form as best as you can. It helps our licensed massage therapists determine what the best course of treatment is to treat your needs.
7. Massage Cancellation and Late Arrival Policy
8. Covid Questionnaire - New Massage Clients Only