First Visit Forms

Prime Health Family and Sports Chiropractic Wellness Center offers our first visit forms here so you can complete them in the convenience of your own home or office.

New Patient Health History & Wellness Assesment Form

Required for your first visit

Download & Print Patient History Form

Instructions:

• Download the necessary forms, print them out and fill in the required information.
• Fax us your printed and completed forms or bring them with you to your appointment.

Questions? Contact us at 618-254-1100 or Email Us

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