New Patient Forms //

Affirmation | DOWNLOAD



BioScan New Patient Package | DOWNLOAD



Child Neurotransmitter & Nutrition Questionnaire | DOWNLOAD



Chiropractic Registration and Health History | DOWNLOAD PAGE 1 / PAGE 2



Consent for Treatment of a Minor| DOWNLOAD



Consent for Holistic Care| DOWNLOAD



Consent for BioScanSRT Wellness System| DOWNLOAD



Metabolic Assessment Form| DOWNLOAD



Notice of Privacy Acknowledgement| DOWNLOAD



NTAF Health Questionnaire| DOWNLOAD



Verification of non-pregnancy Form| DOWNLOAD



Massage Patient Forms //

Groupon Agreement | DOWNLOAD



Consent to Massage Therapy Treatment Form | DOWNLOAD



Massage Patient Health History Form | DOWNLOAD



FAQs //

Why do you post these forms online?


We know you lead a busy life! That's why we provide these forms online. This way, you can print them out and complete them before your appointment when it fits your schedule! We like to keep things moving smoothly and give our patients the care they need when they show up at the office. We appreciate you taking the time to fill these out in advance!

Why do you need health history for a massage?


Massages affect your whole-body health. Chronic pain or injuries most certainly can come up during a massage- so letting your massage therapist know what you've been through allows them to give you the best care possible. We aren't trying to be sneaky, we just want to make sure your treatment is as personalized as possible!

Why do I need to sign so many consent forms?


The body is a complicated, beautiful thing! This also means that sometimes, treatments that work well for some people don't work as well for others. Your practitioner will tell you all the ins and outs of your chosen procedure, and the consent forms are there to protect you- by signing, you're telling us that we've done a good job explaining and you agree to the procedure.

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To Schedule An Appointment

Call 919.461.8400​

© 2016 by Bannard Family Chiropractic and Acupuncture. Created by TwoCan Group.