To save some time on your initial paperwork you may fill out the medical history below. 
 
Prior to your appointment please review & bring with you the HIPAA,  Notice of Privacy Practices, Consent, Financial Policies, Disability Questionnaire, Dictation letter, No show/Late Cancellation Policy.
 
You will give detailed injury information during your visit on the office kiosk.
 
 
If you are unable to upload your insurance card or ID please email them to us at Info@powherchiro.com   If the form is filled out correctly you will get a thank you notice at the end. 
Please remember to print out the necessary forms below as they require actual signatures.
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