Lott Chiropractic Clinic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
New Patient Intake Form
Please complete this form prior to your appointment. This lets us know the history and current state of your health, as well as the reason for your visit with us.
Please read this Policy, and sign the "New Patient Privacy Form" (link above). There is no need to print this document, unless you would like to retain it for your records.