Hughes Chiropractic & Massage offers our patient form(s) online so they can be completed in the convenience of your own home or office.
Below is the link to start your new patient paperwork.
The link does not work properly via cellphone so please complete by using an IPAD, Tablet, laptop or computer.
Once finished sign at the bottom and click the submit button.
Patient Intake Form
FORM ONLY AVAILABLE FOR DESKTOP DO NOT USE PHONE
Once finished be sure to click that you agree with the statement of authorization, sign at the bottom and then click the submit button.
As long as it is not related to auto accident or a work injury you can skip the auto accident and workers compensation sections. The link does not work properly via cellphone so please complete by using an IPAD, Tablet, laptop or computer. Once finished sign at the bottom and click the submit button.
Click here to fill out online
