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.DOT Physical Tips - tips for preparing for your DOT physical.
Insulin Assessment - If you are taking insulin for your diabetes, take this form to your treating doctor. Please bring it with you completed to your DOT physical appointment.