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Welcome to the Chiro Kinetics New Patient Paperwork Page.
Our goal is to help you Cultivate Your Health Potential

We set certain times in the day aside exclusively for new patients. This way the Doctor has his full focus on the assessment of your condition, understanding your priorities and goals and how we can best serve you. We do not double or triple book any appointment times. If you need to reschedule or cancel any appointment, please provide a minimum of 24 hours notice to avoid a cancellation fee up to the full price of your scheduled office visits.

Each practitioner places their full attention on you during your scheduled appointment. As a courtesy to the Doctor and other patients and to eliminate distractions from your care, please turn off cell phones, Blackberries and all other electronic devices during your time in the office.

Please arrive on time for your appointment with your paperwork complete. Feel free to call the office with any questions.

Appointment Type: Paperwork To Complete:
  • Chiropractic, Structural or Performance Evaluation
  • Opti-Fit™ and Opti-Race™ Orthotics
  • Biological Resonance Therapy (BRT)
  • Rehabilitation
  • Pilates Reformer Sessions
  • Private Yoga Therapy
  • Massage Therapy
Basic Administrative Paperwork
  • Functional Medicine Assessment
  • First Line Therapy/Therapeutic Lifestyle Changes
  • Sports Performance Nutrition
  • Weight Control and Body Composition
  • Complimentary Alternative Medicine (CAM)
Complete and review the three sets of documents listed below:
  1. General Office Forms for Nutrition
  2. Nutritional Testing Procedures
  3. Nutritional Assessment Paperwork


  1. Basic Administrative Paperwork
  2. Medicare Financial Policy
Personal Injury


  1. Basic Administrative Paperwork
  2. Personal Injury Financial Policy
Workers Compensation


  1. Basic Administrative Paperwork
  2. Workers Compensation Financial Policy
Yoga and Pilates Mat Group Classes Complete the On Line Yoga and Pilates Mat Group Classes paperwork or print and complete the form by hand.

Please visit our Contact Us page for a detailed map of our office location.

All paperwork is in an Adobe Acrobat format. Click here if you need to download the latest copy of Acrobat Reader. Acrobat




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