Chiropractic Forms

New patient forms

Prior to arriving for your first appointment, complete the new patient forms and bring them with you. You may be asked to complete additional forms when you arrive. If you prefer, the clinic can provide forms for you. Arrive 20 minutes early to your appointment to complete the forms. If you are unsure of how to answer, check with the front desk staff.

New patient forms:

Do not print on both sides of the paper.

For questions, contact:

University Health Services - De Rusha Clinic
952-886-7588, option 4

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