New Patient Form Form packet includes the Patient Information and Past history forms we have all new patients complete at their first appointment. Save time and fill them out online prior to your visit. Step 1 of 3 33% Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Birth Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Social Security Number Sex Male Female Marital StatusStatusMinorSingleMarriedDivorcedSeparatedWidowedEthnicityPlease SelectCaucasianAsianAfrican AmericanHispanic or LatinoNative AmericanMixed or Multiple ethnic groupsOther ethnic groupPrefer not to answerHome PhoneCell PhoneWork PhoneEmail Address* Your Employer Occupation Average Hours /Week Work ActivityActivity Level:SedentaryModerately ActiveHighly ActiveThe level of physical effort it takes to complete your job.Emergency ContactEmergency Contact Name: First Last The name of a spouse, parent, or other relative that we can contact in case of emergency.Phone NumberPhone Number of emergency contact.Employer SymptomsPrimary Area(1) of Pain* Please be specific and detailed Choose One* Constant Intermittent Is the pain in "Area 1" constant or intermittent?What side is the pain on? (Area 1) Right Side Left Side Both Sides What area is the pain in? (Area 1) Upper Middle Lower Rate Pain at its BEST (Area 1) 1 2 3 4 5 6 7 8 9 10 1-10 rate when you are at the highest level of comfort you can reach.Rate Pain at its Worst (Area 1) 1 2 3 4 5 6 7 8 9 10 1-10 rate when you are at the highest level of discomfort you reach.What makes the pain worse? (Area 1) All Movement Bending Lifting Walking Sitting Other What else makes the pain worse? (Area 1) When did the pain start? (Area 1) Did the pain start... (Area 1) Gradually All of a Sudden What caused the pain to start? (Area 1)Please explainIs anything helpful for the pain? (Area 1) Heat Ice Rest Pain Relievers Exercise Other What else is helpful for the pain? (Area 1) Is your sleep affected? Hard to fall asleep Pain wakes me up Yes Sometimes No Does the pain affect your work? (Area 1)Please ExplainDoctors who have treated you for THIS issue: List doctors who have treated you for this issue, if none please type none. (Area 1)Select the treatment you've had for THIS issue: X-rays MRI Medication Surgery Physical Therapy Chiropractic Care Other Other treatment you've had for THIS issue: Do you have any other areas of pain?* Yes No Second Area of Pain or Concern Choose One Constant Intermittent Is the pain in "Area 2" constant or intermittent?Rate Pain at its BEST (Area 2) 1 2 3 4 5 6 7 8 9 10 1-10 rate when you are at the highest level of comfort you can reach.Rate Pain (Area 2) Currently 1 2 3 4 5 6 7 8 9 10 1-10 rate your current pain levelRate Pain at its Worst (Area 2) 1 2 3 4 5 6 7 8 9 10 1-10 rate when your pain is at its worst level of comfort.What makes the pain worse? (Area 2) All Movement Bending Lifting Walking Sitting Other What else makes the pain worse? (Area 2) When did the pain start? (Area 2) Did the pain start... (Area 2) Gradually All of a Sudden Is anything helpful for the pain? (Area 2) Heat Ice Rest Pain Relievers Exercise Other What else is helpful for the pain? (Area 2) Does the pain affect your work? (Area 2)Please ExplainExplain Pain #2Doctors who have treated you for THIS issue: List doctors who have treated you for this issue, if none please type none. (Area 2)Select the treatment you've had for Pain Area 2: X-rays MRI Medication Surgery Physical Therapy Chiropractic Care Other Other treatment you've had for THIS issue: Do you have any other areas of pain? Yes No Third Area of Pain or Concern Rate Pain (Area 3) 1 2 3 4 5 6 7 8 9 10 1-10 rate your current pain level in this areaExplain Pain #3 Past HistoryYour Personal Primary Care Giver / Physician Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Suffix Clinic Have you had previous Chiropractic Care?* Yes No What Chiropractor did you see? Estimated length of time since last treatment with a Chiropractor? Date of last treatment?Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Have you had similar pain in the past?* Yes No Explain:Have you been in any car accidents?* Yes No Date of accidentMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Injuries from accident? Have you had any bad falls?* Yes No Explain:List any injuries from falls, accidents, head injuries, broken bones or dislocations? If you have had any, please state what part of your body the injury happened and when it happened (specify left or right side):Select any of the following that you have had: AIDS/HIV Alcoholism Allergy Shots Anemia Anorexia Appendicitis Arthritis Asthma Bleeding Disorder Breast Lump Bronchitis Cataracts Cancer Chemical Dependency Chicken Pox Diabetes Depression Emphysema Epilepsy Glaucoma Goiter Gout Gonorrhea Heart Disease Hepatitis Hernia Herniated Disc High Cholesterol High Blood Pressure Multiple Sclerosis Pacemaker Parkinson’s Disease Pinched Nerve Pneumonia Polio Prostrate Problems Prosthesis Psychiatric Care Rheumatoid Arthritis Scarlet Fever Scoliosis Stroke Suicide Attempt Thyroid Problems Tonsillitis Tuberculosis Tumors or Growths Typhoid Fever Ulcers Venereal Disease Whooping Cough None What kind of cancer? When?List any illnesses that run in your family:Do you take any medication?* Yes No List any medications that you take and what you take them for:Have you had any Surgeries?* Yes No List any Surgeries that you have had and when you had them:Are you pregnant or do you think you may be? Yes No Date of last period? MM slash DD slash YYYY HabitsDo you Exercise? Yes No Type of Exercise? How much do you Exercise in a week? Tobacco User? Yes No Former Tobacco User? Yes No Type of Tobacco Used? Chew Cigar Cigarettes How much tobacco/Day Alcohol? Yes No Drinks/Week Coffee? Yes No Cups/Day Soda? Yes No Cans/Day High Stress Level? Yes No Reason? Age Height Weight Is your first appointment scheduled?If you have not already called to set up an appointment please note what days and times are best for you and our office will call you to confirm an appointment.SignatureDate MM slash DD slash YYYY How did you hear about our office?Who referred you?Health InsuranceSearch EngineDoctorFamily/FriendCurrent PatientCo-WorkerWhom may we thank for referring you to us? By clicking Submit, you agree to our Terms and that you have read our Data Use Policy, including our Cookie Use.* I agree https://www.chirowellnessgb.com/privacy-policy/CAPTCHANameThis field is for validation purposes and should be left unchanged.