JT Anderson Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.  If at all possible, we request that you make time to complete our Patient Health History forms located in the New Patient Center prior to arriving in the office. This paperwork provides us with your health history and information on your condition.  We have found that completing the forms prior to your visit takes the "rush" out of the visit and allows you to really focus and provide as detailed information as possible when you are completing them.  

Please select and complete the appropriate form.  For most patients this will be the New Patient Health History.  However, if you have been in a car accident or are completing forms for a minor, please select the forms specific to your situation.   

  • 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.
  • Bring completed forms with you to your appointment.


New Patient Health History Form - Required

New Patients, please complete this form and bring it with you to your appointment.

Download & Print Form


Update to Health History for Existing Patients

If you are a previous patient of Dr. Anderson's and need to update your health history, please print and complete this form.

Download & Print Form


Pediatric Health History Form - Required

Download & Print Form

Auto Accident Health History Form - Required

Download & Print Form

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


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