New Patient Paperwork
Preferred Chiropractic of Midland offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.
- If you do not already have AdobeReader® installed on your computer, click here to download.
- Download the necessary form(s), fill in the required information.
- Fax or email us your printed and completed form(s) or bring it with you to your appointment.
Download & Fill Out Disability Questionnaire Form – Required
Download & Fill Family Health History Form – Required
Download & Fill Patient Information Form – Required
Download & Print HIPAA Form – Required