Online Forms

Tooele Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to 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 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!

Download & Print Form


Allergy Intake Form

This form can be filled out when coming in for a consultation/treatment for your allergies.  Please take your time when filling this out and answer each question to the best of your knowledge.

Download & Print


Allergy Instructions

All new patients should print these instructions as it contains important information on how to prepare for your allergy treatments and what you need to do after each treatment session.

Download & Print



Download the Free AdobeReader®