NEW PATIENT PAPERWORK

 

Harris Chiropractic offers our patient forms online so they can be completed at your convenience.

 * If you would prefer to fill out paperwork in the office, please plan to arrive 20 minutes early for your first appointment.

  • All forms are PDF files. You may need AdobeReader® to view them.

  • Complete the appropriate Paperwork ("New Chiro Patient", "New Auto Collision Patient", or "New Massage") by hand or electronically

*  If you have more than two areas that need treatment (ex: Low Back, Neck, and Knee), you may print extra "Symptom Pages"

 - we require one symptom page for each separate issue. 

  •  Print and bring your completed paperwork with you to your first appointment where possible. Thank You!

(Middleton only)

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HARRIS CHIROPRACTIC PLLC

Sports Medicine | Spinal Care | Chiropractic | Muscular Therapy

3224 N Maple Grove Rd | Boise, ID 83704

314 W Main St | Middleton, ID 83644

Phone: 208.424.5100 | Fax: 208.424.3225

Read our legal & privacy policy | Accesibility Policy |  E-mail us

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© 2012-2020 By Harris Chiropractic PLLC

* Please allow 24 hour notice for cancellations or a $15 fee will apply