New Patients at Horning Chiropractic Center

Freedom From Pain

What to Expect

In order to process your paperwork in a timely manner, please printout and complete the following forms. These completed forms should be handed in upon arrival on your first visit to our office. Thank you for your cooperation and if you have any questions, please contact our office.

What to EXPECT on your FIRST visit:

The first visit to our office involves taking your past history, a FREE consultation, an orthopedic and neurological evaluation and an applied kinesiology examination. The doctor will also speak with you regarding your health, nutritional and fitness goals.

Our mission is to restore your full potential, enabling you to achieve your goals…naturally.

We look forward to meeting you!

New Patient Forms

1 – How This Office Is Different From OthersOffice is Different PDF
  2 – We’re Glad You’re HereWe’re Glad You’re Here
  3 – Financial PoliciesFinancial Policies PDF
  4 – Application for TreatmentApplication for Treatment
  5 – Family Health HistoryFamily History PDF

  6 – Patient Consent for Use & Disclosure of Protected Health Information

Patient Consent

  7 – Office Policy – Insurance AssignmentOffice Policy
  8 – Insurance InformationInsurance Info PDF
  9 – Payment AuthorizationPatient Authorization
10 – Review of SystemsReview of Systems PDF

Our Mission is to Restore Your Full Potential Enabling You to Achieve Your Goals…Naturally!

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