Hazeldean Family Chiropractic Clinic : Health History
We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.
Health History and Future
This lets us know what’s happened, but perhaps more important, where you want to take your health.
Welcome Letter
Health History – Age 10 and Up
Health History – Birth to Age 9
X-Ray Forms
In case x-rays are necessary, please take the time to print and complete the appropriate form below.
Consent for Radiology – Age 10 and Up
Consent to Radiology – Birth to Age 9
Free AdobeReader®
Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.