Online Forms

Optimal Health Clinic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our office.

Please Note: Each new patient must sign all consent forms including Privacy Notice, Office Policy, Consent to Treat. You may download them prior to your visit so you have time to read them thoroughly.  

ALL CONSENT FORMS

New Patient Chiropractic -

Click the New Patient Link below to fill out your intake online prior to your first appointment. No printing necessary and once the forms are complete, they will be sent directly to us!  (English and Spanish available)

New Patient Link

Printable Intake Forms (if you are unable to fill out the intake online, feel free to print these forms, fill them out and bring to your first appointment.

English

Spanish

New Patient Nutrition 

If you are unable to print these forms, please feel free to use the New Patient Link under chiropractic above. 

Download & Print Form

Download & Print Form

Environmental Influences Questionnaire

Download & Print Form

Detoxification Questionnaire

Download & Print Form

Lyme Questionnaire

Download & Print Form

NRT Food Diary

Download & Print Form

Basal Body Temperature

Download & Print Form

New Patient SHAPE RECLAIMED - Please print, fill out, and bring to your first appointment.

If you are unable to print these forms, please feel free to use the New Patient Link under Chiropractic above.  

Shape New Patient Form

Download & Print Form

Shape Questionnaire

Download & Print Form

Shape Consent Form

Download & Print Form

Shape Food Diary

Download & Print Form

Download the Free AdobeReader®