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Patient Forms

Advanced Integrated Healthcare offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.
  • Directions for our office are located in the Contact Us tab on the main page.


New Chiropractic Patient Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form

 

Female Nutritional Counseling Form

Download & Print Form

 

Male Nutritional Counseling Form

Download & Print Form

 

Youth Nutritional Counseling Form

Download & Print Form


Personal Injury Questionnaire - Print this form in addition to New Patient Paperwork only if there has been in a slip & fall or work related injury.

Download & Print Form

 

Auto Accident Questionnaire -  Print this form in addition to New Patient Paperwork if involved in a motor vehicle accident.

Download & Print Form


Ion Cleanse Release Form

Download & Print Form


New Massage Client Forms

Download & Print Form

 

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right side of the home page. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


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Signup Four Our Newsletter

We look forward to hearing from you.

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Our Location

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Office Hours

Find Out When We Are Open

Monday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Tuesday:

Closed

Wednesday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Thursday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Friday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Saturday:

Closed

Sunday:

Closed