Please print off the Health analysis, Introduction card, and Hippa form for your first visit.  All women please fill out the verification of non-pregnancy for X-ray purposes.  If you are 18 years old or younger you will need your parent or legal guardian to fill out the consent to treat a minor.


Consent for Treatment of Minor           PATIENT INTRODUCTION CARD.pdf

Auto Accident Questionaire          Verification of Non Pregnancy      Health Analysis.pdf

Hippa Consent.pdf

 

LiveWell Family Chiropractic
3543 W. Memorial Rd.
Oklahoma City, OK 73134
(405) 286-6300