Online Forms

LifeTouch Chiropractic offers our patient form(s) online so you can complete 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 it with you to your appointment.

New Patient Health History Form - Required

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

Standard Form: Click to Download and Print 

Medicare Patient Form: Click to Download and Print

*If you were involved in a car accident or work-related accident, the proper forms will need to be filled out in the office.  If you have any questions you can call the Chatsworth office at 706-695-7790 or the Dalton office at 706-259-5599.