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

Download the Free AdobeReader®