New Patient Form
Download and complete before your first appointment.
Your first visit
New Patients & Paperwork
Welcome to Simply Chiropractic and Acupuncture! To help make your first visit as smooth as possible, please download and complete the necessary paperwork before your appointment.
Before your appointment
Download the required PDF documents.
Print the documents.
Complete the paperwork.
Bring the completed forms with you.
Please bring completed paper forms to your appointment. This website does not collect patient health information.
Patient documents
Download PDF
Consent Form
Review, print, and complete the consent form.
20 Questions
Download and complete the patient questionnaire.
Need help with the paperwork? Call the office at (314) 341-1672.