Apollo Chiropractic Health and Wellness, LLC offers our patient intake 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, download it here.
Download the necessary required form(s), print them out and fill in your information.
Please bring your completed forms with you to your appointment.
If you intend to complete the new patient intake forms in our office please arrive 15 minutes early for your first scheduled appointment.

New Patient Registration and Health History Form – Required
New Patient Registration forms help us understand 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

New Patient Registration for Veterans
This new patient form is specifically for Veterans using the Veterans Choice Program, PC3 Program, VA Community Care Program or TriWest HealthCare Alliance.

Download & Print Form

New Patient Registration for Motor Vehicle Accidents
This new patient form is required for patients involved in a motor vehicle accident.

Download & Print Form

Personal Health History Screening- Required
Download & Print Form

Medication and Supplement Screening- Required
Download & Print Form

Consent Form and Financial Policy- Required
Download & Print Form