Online Forms

BACK to Health Clinic 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.

Motor Vehicle Crash / Workers Comp Patients –

• New Patient Packet 

Private Insurance / Self Pay Patients-

• New Patient Packet