Online Forms

Premier Chiropractic & Pilates 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 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

Motor Vehicle Collision/Personal Injury Questionnaire

Download & Print Form

Please fill out this form and also make sure you bring the following items with you to your first appointment:

  • Your claim number
  • Your car insurance card
  • Yours and the other person's insurance company information
  • Police report
  • Your attorney's name and phone number, if you are working with an attorney

Worker's Compensation Questionnaire

Download & Print Form

Download the Free AdobeReader®

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