New Patient Information

Once you have set up your first appointment with us, please click on the following link. You will be directed to our Patient Information page, where you will give us your information.

After checking the box "I agree with this statement of authorization", please print the last page "Authorization" and sign and date it. Bring this form with you to your appointment, it will speed up your initial visit.

https://www.mychirotouch.com/patientintake/?clientid=LCC0007