New Patient Paperwork
At Pure Motion Chiropractic, you can complete your new patient forms at home so your first visit is smoother, faster, and focused on your care—not paperwork.
Application for Care
For adult patients starting care. Share your basic information, health history, and main concerns.
Office Policies and HIPAA Forms
Outlines our office policies and privacy practices. Please read, sign, and bring to your first visit.
Application for Children (12 & Under)
Intake form for children 12 and under, covering health history, development, and current concerns.
Why Fill Out Paperwork Before You Come In?
Pure Motion Chiropractic provides our new patient forms online so you can complete them in the comfort of your home or office before your first visit.
All forms are PDF files. You’ll need Adobe Reader® to open them.
If you don’t already have Adobe Reader® installed on your computer, click here to download it.
Once You're Ready
Download the necessary form(s)
Print them and fill out all required information
Bring the completed form(s) with you to your appointment
Get started with care more quickly
If you prefer, you can still arrive a little early and complete your forms in the office—but most patients appreciate doing it from home at their own pace
Start Your First Visit Fully Prepared
Complete your new patient paperwork today and take the next step toward better movement and lasting health at Pure Motion Chiropractic.
