New Patient Paperwork

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

• Please fill out the appropriate Patient Intake Form below.
• If you are pregnant, after submitting the Patient Intake Form, please also fill out our Pregnancy Questionnaire.
• Once you completely fill out a form, make sure you hit the "Submit" button at the bottom of the page.