Appointment Request Form

We will call you to set up your appointment!

Online Forms

A Better Balance Chiropractic offers our patient form(s) online so they can be completed 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.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - 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!

Fill Out Form


Health Questionnaires & Toxicity Testing

This forms are for your benefit to see your overall health scores, give you new goals to focus on, and give us some additional insight on how we can help you more.

Survey--Standard Process


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