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Exclusive Offer

Mention the website and receive 10% OFF your Ideal Protein Registration.

Wellcare Chiropractic Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our office.

  • Download the necessary form(s), print and fill in the required information.
  • Bring these forms with you to your appointment.
  • Forms are specific for Chiropractic, Acupuncture, Massage and Ideal Protein
  • If you do not already have AdobeReader® installed, Click Here to download.

Chiropractic:

1) Registration Forms (includes receipt of HIPPAA Privacy Notice) Click here to read Privacy Notice

2) Financial Policies (as it applies to your current situation)

3) Complete these Quesionnaire forms as they apply to your area of pain.

     -  Neck Pain   -  Upper Extremities (arms/hand)
     -  Low Back Pain (online form)   -  Lower Extremities (legs/knees/feet)
     -  Headaches 

Acupuncture:            Acupuncture Registration Form

Massage Therapy:    Massage Registration Form

Ideal Protein:             Health Profile 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 chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, 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®

Featured Services

Services
We strive to provide complete care for our patients. Learn more about all the services we provide.
Make An Appointment
We will do our best to accommodate your busy schedule. Schedule an appointment today!
Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.