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.
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 Neck Index
Download & Print Form Lower Back Index
Download & Print Form Patient Record Disclosure