Patient Forms

Wellness For Life Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  1. Download the free AdobeReaderĀ®, if you do not already have it installed.
  2. Download the necessary form(s), fill in the required information, save, and print it.
  3. Bring your printed and completed form(s) with you to your appointment. If you wish to email it you may, but know the information you send is not secure. Email

New Patient Health History Form - Required

chiropractor nutrition office in Cumming GA - front of building

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Please arrive 10 minutes earlier than your appointment time if you cannot finish the paperwork before your visit.

1. Save forms to your computer
2. Type/print -or- Print/write all forms completely

New Patient Form (all services)

Come in 10 minutes earlier to fill out the paperwork in the office if you are unable to print the form(s).

Existing Patient Forms

Nutrition Forms

Metabolic Assessment Form

Metabolic Assessment Form

Newsletter & Website Member Form

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Experience Questionnaire

We are always wanting our patients to have the best experience interacting with our office. We read all comments and take them into serious consideration. Please help us help you by filling out this form.