We offer our patient forms online so they can be completed in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary forms, print them out and fill in the required information. You may also fill out the forms on your computer.
- Fax us your completed forms, scan and e-mail your forms, or bring them with you to your appointment.
IMPORTANT - If you do not have Adobe Acrobat or another PDF editor, you will not be able to save digital copies of forms that are filled out on the computer. You will need to print the forms before closing the file. Feel free to contact our office if you have any questions.
New patients, new auto injury, or first visit in over three years, please use these forms:
If you have been asked to fill out an update or if it has been over three months since your last visit, use these forms:
Additional Forms
Insurance Health Questionare
some insurance groups require this form
Consent To Treat Minor Child
required for Dr. Harris to treat a minor
Privacy Practices
Harris Chiropractic Clinic's privacy practices