Online Forms

Family Chiropractic offers 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 form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets Dr. Terry know the history and current state of your health. What questions, concerns, goals, regarding wellness can Dr. Terry help you with? Let her know!

Download & Print Form

View our Financial Policy & Missed Appointment Policy


NUTRI-WEST product and health appraisal questionnaire

This lets Dr. Terry know the history and current state of your nutritional health. 

Download & Print Form


Identify Stress questionnaire

This lets Dr. Terry know how your body responds to situations you perceive as stressful

Download & Print Form



Download the Free Adobe Reader®

CONTACT US TODAY

We look forward to hearing from you

Office Hours

Our Regular Schedule

Office Hours

Monday

9:00 am - 6:00 pm

Tuesday

3:00 pm - 6:00 pm

Wednesday

9:00 am - 6:00 pm

Thursday

3:00 pm - 6:00 pm

Friday

9:00 am - 6:00 pm

Saturday

Closed

Sunday

Closed

Office Hours

Monday
9:00 am - 6:00 pm
Tuesday
3:00 pm - 6:00 pm
Wednesday
9:00 am - 6:00 pm
Thursday
3:00 pm - 6:00 pm
Friday
9:00 am - 6:00 pm
Saturday
Closed
Sunday
Closed