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Wise Chiropractic, Inc. offer our paperwork online so you can complete it in the convenience of your own home. Prior to coming in for your first visit, it helps us to have some background information so that we can hit the ground running! Below are the instructions for completing our paperwork:

  1. Open the attachment and download to your computer. IMPORTANT: Do not complete the forms in your internet browser or it will not save your information.
  2. If the forms open in your web browser by default, close the window and open the PDF file using Adobe Reader. 
  3. Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, download for free: Get AdobeReader® FREE
  4. Complete the all questions on the forms digitally. 
  5. Save the file to your computer with your first name and last initial.
  6. Print or Attach and Email the forms to us before your first visit.

New Patient Health History 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? 

Adult and Teenagers (+13 yrs old)                                                        Download, Fill in & Print Form

Adult Pregnancy (Pregnant Females)                                                   Download, Fill in & Print Form

Pediatric/Children (0-12 years old)                                                       Download & Fill in & Print Form

Auto Accident Paperwork                                                                     Download, Print Forms & Fill in

NAET - Allergy Elimination (Additional Forms to Download)                Download, Print Form & Fill in

*** Please note our new address is 6332 S. Rainbow Blvd #120 ***


HIPPA Compliance Form

Please fill out the last page and return it to the office on your first visit. 

Download & Print Form


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



Download the Free AdobeReader®

Exclusive Offer!

New Adult Special: Consultation, Exam, Digital X-rays and First Adjustment for $99.00.

New Pediatric Special: Exam and First Adjustment for $60.00

Sign-up using the request appointment form right above or call us at 702-248-6292 to take advantage of this exclusive offer.

Please see our "Office Hours" and "Announcements" pages to ensure we can try to accommodate your appointment time. 

THIS ---->https://wisechiropractor.chiromatrixbase.com/new-patient-center/online-forms.html

Office Hours

Day
Monday9am-12pm2pm-6pm
Tuesday2pm-6pm
Wednesday9am-12pm2pm-6pm
Thursday9am-12pm2pm-6pm
Friday9am-12pm
SaturdayClosed
SundayClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9am-12pm 9am-12pm 9am-12pm 9am-12pm Closed Closed
2pm-6pm 2pm-6pm 2pm-6pm 2pm-6pm

Testimonial

Myself and my 8 year old son has been seeing Dr. Wise since 2015. The care we have received at his office has been outstanding. Our health has been improving, allergies have gone away and my son's behavioral issues have drastically improved! Chiropractic and NAET have made an impact into my families lives.

Stacy K
Las Vegas, NV

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