Hudak Chiropractic Clinic, P.C.
Chiropractic Care for the Family
Patient Forms
New Patients:
Please print out all the forms below so that you can complete them and bring to your initial appointment. The forms are in PDF format – you will need Adobe Reader in order to view them. If you do not already have a copy of Adobe Acrobat, you may download it for free here:
* New_Patient_Health_History
* Financial Policy
If you are unable to print and complete forms for your visit, please come in at least 30 minutes before your scheduled appointment to complete them in the office.
Returning Patients:
Once a year you will be required to update your demographics and health history. Please bring the following form to your first visit of the year:
* Health_History_Form
If you are unable to print and complete the form before your visit, please come in 15 minutes before your scheduled appointment to complete it in office.
From time to time you may be required to complete other paperwork in the instance of an automobile accident or workman’s comp claim. Please inform the front desk of any changes to your health history before your appointment with the doctor.
