Baker Chiropractic Health & Wellness 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.
• Bring your completed form(s) with you to your appointment.

HIPAA Policy - Please Read

Click here for HIPAA Privacy Policy

New Patient Health History Forms - Required

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!

Click here for Acknowledgement of Receipt

Click here for New Patient Information Form

Click here for Office Policy Agreement

Please bring these to the office for your first appointment!

Member Wellness Registration Form - Optional we do not need this for your appointment

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 Click Here to 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!

Download & Print Form

Download the Free AdobeReader®