Patient Paperwork

New Patient Forms

We offer our patient forms online so they can be completed in the convenience of your own home or office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• All new patients fill out: payment policy, consent for treatment, HIPAA and new patient info.

New Patient Intake Form

HIPPA Consent Form

Consent for Treatment Form

Payment Policy

Start Back Screening Tool

Low Back: Revised Oswestry Index

Neck/Upper Back: Neck Disability Index

Arm/Shoulder/Hand: QuickDASH-9

Hip/Knee/Ankle/Foot: Lower Extremity Functional Scale

Contact McAndrews Chiropractic Clinic