Mitchell Chiropractic & Acupuncture Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.
- 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.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
New Patient Health History Form - Required
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
New Patient Forms
You may download and print both forms to have completed before your first appointment.
Fax Number: 605-996-3703.
Download the Free Adobe Reader®
If you would like to read our Notice of Privacy Practices, please use this link: notice-of-privacy-practices.pdf .