Altoona Chiropractic Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
- Fax us your printed and completed form(s) (Fax number: 515-967-6809)or bring it with you to your appointment.
New Patient Health History Form - Required (Adult)
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
New Patient Health History Form - Required (child - birth to 2 months)
New Patient Health History Form - Required (child - 2 months - 2 years)
New Patient Health History Form - Required (child - 3 - 5 years)
New Patient Health History Form - Required (child - 6 years and older)
Informed Consent for Chiropractic - Required
HIPPA - Required
Patient Up Date
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!
Auto Accident Form - Adult
Auto Accident Form - Child
Workmans Comp Form
3D Spine Simulator
Launch 3D Spine Simulator