New Patient Paperwork

Want to speed up your first appointment? Feel free to complete your new patient paperwork here so that you can fill it out at home. If you wish to complete a hard copy or don't have time, don't fret, we'll get you set-up in no time at our office.


New Patient Intake Form

The pediatric form is designed for children 8 years and younger OR children without a pain complaint. (colic, ear infections, bed wetting, ADHD/Autism/Behavioral disorders, sleep problems, etc.)
Patients older than 8 years OR patients with pain complaints (headaches, back pain, etc) fill out the traditional blue intake form.


New Patient Pediatric Intake Form


Contact us today if you have any questions about the new patient process.

Same Day Appointments Available - (810) 225-2288

Peoples Choice Ribbon
  • Brighton, MI Chiropractor Location
  • 8336 Hilton Rd.
  • Brighton MI 48114
  • Hours:
  • Monday - Friday: 9:00am - 7:00pm
  • Saturday: 9:00am - 12:00pm
  • Howell, MI Chiropractor Location
  • 977 Grand Oaks Dr.
  • Howell, MI 48843
  • Hours:
  • Mon & Fri: 9:00am - 1:00pm, 2:00pm - 7:00pm
  • Tues: 9:00am - 1:00pm
  • Wed & Thurs: 2:00pm - 7:00pm