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Total Chiropractic & Wellness Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.


New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know! Please take a few moments to complete the online intake form before your scheduled appointment.

Click Here to Fill Out New Patient Form