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History Forms

Here are the simple forms that you will be required to fill out when you come in to Chait Chiropractic.  You can do this in the comfort of your own home or office and be ready when you arrive.  It will speed things up and will ease the waiting process.  There are 2 forms, each for different sittuations.   These are PDF files.  Here is the process.  Kindly choose one or the other.  There is no need to download both.   

1.  Click on the link to download the appropriate form to your computer.
2.  Open the form and print them out.  Each form is 2 pages.
3.  Fill out the form and bring them with you when you come in for your visit.

Below are the 2 forms Available: Please Download and Fill In the Appropriate Ones:
Simply click on the links to dowload the right forms for your situation.  


1.  Kindly Download this form if you are a First Time Patient and Have NOT Been in an Accident.  
Patient-History-For-Chait-Chiropractic.pdf

2.   Kindly Download this form if you are a First Time Patient & HAVE BEEN involved in an Accident.
Personal-Injury-Questionnaire-For-Chait-Chiropractic.pdf

Thank you for your time.  We are very glad that you have chosen Chait Chiropractic. Our staff will do our very best to make the process as pleasant as possible and get you back to feeling good again.  That is our goal.  We truly do look forward to seeing you in here and look forward to meeting you.

To Your Health,
The Chait Chiropractic Team

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