General Health Survey
Arm, Shoulder, or Hand
Low Back
Lower Extremities

Below are some forms that can help us diagnose and treat your specific needs. Choose any and all forms that are most applicable to your visit. If the pain you're experiencing doesn't fall under any of these forms, no need to worry. These are just some of the more common ones.

New Patient Forms

Patient Information Form
Acknowledgement of Receipt of Notice of Privacy Practices


Patient Privacy Policy


Although these forms are required before you receive care, we don't require you to have these filled out before you come. But just in case you want to save some time and feel better prepared, we have it all right here for you to print out. 


What can I expect my first visit?

Your first visit begins with a consultation. Your doctor will ask about medical history and present condition.


Physical evaluation


If necessary, X-rays or diagnostic tests to obtain further information


Explanation of care



Recommended changes in self-care, lifestyle, work environment, diet, and exercise

© 2016 Northcreek Chiropractic