Rapp Chiropractic offers patient forms online so they can be completed it 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 (Welcome Form) - Required
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
Patient Consent Form- Required
Auto Accident Form
If you have been in an auto accident please inform us when scheduling your appointment.
Workers Compensation Form
If you are being seen for a work injury please inform us when scheduling your appointment.
Please let us know that you're making a DOT physical appointment when you call and bring any required forms, including the DOT Medical Examination Report with "Driver Information" and "Health History" sections completed.Tips for the DOT Physical Sheet
Click Here for Insulin Assessment
*Please note when printing this form make sure the landscape option is selected in your printer options*