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.
Please fill out forms using blue or black ink only.
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!
New Patient Consent Form-Required
Existing Patient Consent Form
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.
Massage Intake Form
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.
Download & Print Required DOT Physical Intake Form
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.
Release of Records
Download & Print Release of Records Form