To get you started and eliminate timely paperwork we have included forms you can print out and fill out prior to your visit.  All forms must be fully completed and are mandated for us to have on file. The forms are in Adobe Acrobat format.  Please download this Adobe Reader if you do not have a current version.

NEW PATIENT FORM  
WORK RELATED INJURY FORM
AUTO INJURY FORM

VERY IMPORTANT!!

Please also choose below the appropriate pain chart

for your area of concern:

NECK / UPPER-BACK / ARM / HEADACHE – PAIN CHART
LOW BACK / HIP / LEG – PAIN CHART 

What is HIPPA? ...It is the Health Insurance Privacy & Protection Act.
It is a signed agreement between you and our Chiropractic Center obligating us to protect your information.  We will only share information with your doctors and the loved ones you list on your form.

Federal laws called HIPPA mandate criteria for us to follow in order to protect your personal information. We at Knight Chiropractic Center, LLP follow the HIPPA Regulations as well as the following internal PRIVACY POLICY to protect you.