New Patient Paperwork

Platinum Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office. please take the time to print and fill out the following Confidential Information form. Once completed don't forget to bring this form with you. We look forward to meeting you!

• All forms are PDF files. You will need AdobeReader® to view them.
• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print them out and fill in the required information.
• Bring the necessary form(s) to your appointment.