Here at Wise Chiropractic, Inc., we value our patients. We acknowledge that going to a new place for the first time can be nerve racking. We want to do everything we can to eliminate any unnecessary stressors, which is why we include the option of printing and completing your forms at home. We think of our patients as part of our extended family, and we are excited to meet you!

If you have any questions regarding your first visit, please don’t hesitate to call us at (702) 248-6292.

Wise Chiropractic, Inc. offers 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 it to your computer or mobile device. 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. For PC/Mac: 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 all questions on the forms digitally.
  5. Save the file to your computer or mobile device 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 address is 6332 S. Rainbow Blvd #120 ***

HIPPA Compliance Form

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