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Why Put Off Feeling Better?

New Patient Forms

Laurelhurst Chiropractic

New Client Paperwork

We’re thrilled to have you join us on your journey to better health and wellness. To ensure we provide the best care possible and fully understand your needs, we’ve made the process simple and easy for you.


We kindly ask that you complete the patient intake forms before your first appointment. These forms help our team understand your unique needs, prepare for your visit, and customize your treatments accordingly.


Please fill out one of the medical intake forms provided by the clinic below, selecting the one that best applies to your age group and situation. Don’t hesitate to contact us with any questions!

  • New Patient Application Form (Ages 6 and up):

Welcome aboard! We’re thrilled to have you as a new patient. This form helps us get to know you better—your health goals, medical history, and preferences. It serves as the starting point for creating a personalized plan just for you.


To fill out the form, please click here!

  • Pediatric History Form (Ages 0-5):

For our young patients, we’ve got a form that covers everything from allergies to milestones. This helps us give the best care to our little champs. If your child is under 5 years old, we ask that you complete the pediatric form on their behalf.


To fill out the form, please click here!

  • Automobile Accident/Workers' Compensation Form:

Accidents happen, and we’re here to help you bounce back. This form lets us understand the details so we can assist you effectively and get you back on track. Complete this form if you will be seen under a Personal Injury (Auto Accident) or Workers’ Compensation claim.


To fill out the form, please click here!

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