Please bring the appropriate forms (completed if possible) with you for your first visit. If you decide to fill these forms out at the clinic, please arrive 15 minutes early for your appointment.


Note: All these forms are in PDF format, you will need a PDF reader. Get one here for free. Click Here.
Seminole Chiropractic Patient Forms
Patient Case History: patient_history.pdf
Initial Health Status: initial_health_status.pdf
Vehicle Accident Information: accident_information.pdf



United Healthcare Patient Forms
Patient Health Questionnaire: united_questionnaire.pdf
OPTUM Skeletal Screening Tool: optum_skeletal_screening_tool.pdf