Fusion Chiropratic Intake Forms

At Fusion Chiropractic, we want to maximize your time with us. Before your first visit, we ask you to please:

1. Download and complete the appropriate patient forms below and return them to referrals@ComberPT.com before your appointment.
   
   • If you have Adobe Acrobat Reader, you can complete the forms electronically before emailing them back to us.
   • Be sure to download the forms before filling them out so that your information can be saved properly.
2. If you prefer not to use Acrobat Reader, please print, and fill them out to bring to your first appointment.
3. All new patients should bring a printed copy of their completed forms, insurance cards, and photo ID with you to your first visit. Printed copies of all forms are recommended even if you have sent them via email.

If you arrive without your completed forms, allow 30 minutes before your appointment to fill out your registration forms.

Chiropractic Intake Forms

• 1

  Patient Registration Form

  Download & Print
• 2

  Financial Policy Form

  Download & Print
• 3

  Patient Intake Form

  Download & Print