New Patient Forms

In order to provide you with the best chiropractic, nutrition, and wellness care possible, we ask that you download and fill out all New Patient Intake Forms and bring them with you on your first visit. If you are a Functional Medicine patient, we ask that you fill out the appropriate forms and email them back to us prior to your first visit. This information will help Dr. Ballard to develop her individual care plan for you or your little one. If you need help with any of the forms, or are unsure of which you will need for you first visit, just give us a call. As you fill them out, please don't skip sections, and pay particular attention to your goals. The information that you put on your forms helps us build a framework for your care and assures that we are on the same page, working towards the same benchmarks! 

Click the links below to jump to the appropriate section for your needs. There you will find the exact forms you'll need to get started.  If you have any questions, we are always here to help!

- Pediatric Chiropractic Care

- Adult Chiropractic Care

- Prenatal & Pregnancy Care

- Functional Nutrition

Pediatric Chiropractic Forms

Birth - 3 yrs Intake Forms

4 - 8 yrs Intake Forms

9 - 13 yrs Intake Forms

Adult Chiropractic Forms (Ages 13 & Up)

Health Status Questionnaire

Prenatal & Pregnancy Forms

Pregnancy Intake Forms

Health Status Questionnaire

Nutrition Forms for Functional Medicine visit (Please fill out a records release for each doctor you've had recent testing with.)

Nutrition Intake Forms

Female Health History

Health Status Questionnaire


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