Wishaw Chiropractic Clinic 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.
Health Questionnaire
New Patient Consent to examination form
This form is to clarify that you grant the Chiropractor permission to carry out an examination of
your spine during your initial consultation at the clinic. Please bring this form along with the Health Questionnaire.
GDPR A4 1pp 2018