NEW! Blue Sky Health & Wellness now offers online form submission. While we will still offer our patient printable forms, you can now complete the forms quickly online and submit them directly to the office. You can still print and complete the forms in the convenience of your own home or office and bring them with you to our office, or you can scan and email or fax them to us before you arrive at our chiropractic 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 Forms - 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!
Please read and sign our Office Policy forms.
Please read and sign our HIPPA privacy form.
Please read and sign our Informed Consent Form
Please read and sign our Authorization to treat a minor form
Permission to discuss health information with a family member
THESE FORMS ARE NOT AVAILABLE FOR ONLINE SUBMISSION. PLEASE PRINT, COMPLETE AND FAX/EMAIL TO US OR BRING TO US ON YOUR NEXT APPOINTMENT:
If you do not already have AdobeReader® installed on your computer, please download the Free AdobeReader®
ABN Medicare Form
Brain Function Form
Brain Health and Nutrition Assessment Form
Adult Neurotransmitter Form
Pediatric Neurotransmitter Form