North County Integrative Health Center offers our patient form(s) online so you can complete it in the convenience of your own home or office.
New Patient Health History Form - Required
As you will soon learn, wellness chiropractic care can have global effects on the rest of your bodily functions. Many of our patients come in for neck pain or back pain, and once their nervous system is functioning better, many symptoms like fatigue, heartburn, anxiety, and digestion improve (the list goes on). Thank you for the honor of working with you on your path to optimal health.
Please let 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 fill out the following New Patient Forms to your best ability prior to your first appointment. If you have any questions we will be more than happy to answer them when you arrive for your visit.
New Patient Nutritional and Lifestyle Education Consultation Forms:
Lifestyle Education is very comprehensive. It includes: how you eat, how you sleep, what type of exercise you do, how much water you drink, and more. These forms will give Janice a broader view of how you currently live your life and how she can help you reach your health and wellness goals. Please fill out the following forms to your best ability prior to your first appointment.