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New Patient Forms

Trinity Family Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office. Download the necessary form(s), print it out and bring it with you to your appointment.

Online Intake Form: Click here to complete

Adults: Health History / Children: Pediatric History

Download the Free AdobeReader®

HIPPA Notice of Patient Privacy Notice (Download and Print)

We are happy to work with your insurance company and accept most insurances!


 

Get Directions
 

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Bicycles Plus is on the first floor, Trinity Family Chiropractic is on the 2nd floor of the same building. Enter in through the covered parking lot to the right of Bicycles Plus, and walk through the glass doors to the left. Take the stairs (or the elevator to the right of the entrance) to the second floor. Suite 225 is located on the back wall to the left of the staircase.


Member Wellness Registration Form (Optional)

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding! Download & Print Form