Accessibility View Close toolbar

Application for Treatment Forms

Borges Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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.

PatientAlly

In our office you have a choice in filling out the Application for Treatment forms, by paper at the office, down load these forms here; then FAX or bring them to the office, or use the convenient online process using PatientAllly.com that you can access on this web site.

If you choose online, it takes about 2 minutes to set up the free Electronic Health Records account and about 30 minutes to fill out all the Health forms. For further details see the PatientAlly tab or click PatientAlly.com and go directly to PatientAlly.


New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Additional Forms

Download & Print Form Neck Index

Download & Print Form Lower Back Index

Download & Print Form Patient Record Disclosure



Download the Free Adobe Reader®

Location

Find us on the map

Office Hours

Primary Location

Monday:

7:30 am-5:30 pm

Tuesday:

7:30 am-5:30 pm

Wednesday:

7:30 am-5:30 pm

Thursday:

7:30 am-5:30 pm

Friday:

7:30 am-5:30 pm

Saturday:

By Appointment

Sunday:

Closed

Testimonials

  • "Drs. Karnen and David are great! Honest, trust worthy and know their profession. Our entire family recommends them."
    Jeff S. - South Lake Tahoe, CA
  • "Hands down the best in the business, I drive 7 1/2 hours to go see them and get worked on."
    Michael Luis
  • "Drs. Karnen and David are great! Honest, trust worthy and know their profession. Our entire family recommends them."
    Jeff Seidel