Synergy Chiropractic & Natural Health 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.
Initial Paperwork for EVERYONE (needs to be complete before first visit)
- Initial Health History (for 13 or more years old)
- Initial Health History (pediatric) (for 12 years old or younger)
More Initial Paperwork for EVERYONE
- Metabolic Assessment form (MAF) questionnaire
- Fatigue – Adrenal – Thyroid risk (FAT) profile questionnaire
- Headache, Neck Pain, TMJD, Toxicity – Risk Profile questionnaire
- Arthritis & Osteoporosis Risk Profile questionnaire
- Intestinal Dysfunction questionnaire
- Carpal Tunnel Syndrome
- Temperature graph Fatigue – Adrenal – Thyroid