Reed Road (260) 471-5433
Chestnut Plaza (260) 616-0339

New Patient Paperwork

New Life Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them...
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

What Our Patients Say

"I suffered from migraines when I first started at New Life Chiropractic, and now I no longer get them!" Kelly M.

"100% improvement!"
Dallas H.

"The BEST thing I did was come here! On a scale from 1-10, my pain was a 12 when I first came in, now it’s a 2!!!"
Nadine H.

"I haven’t been to a doctor since I’ve been under care at New Life, and I think twice before making an appointment."
Marlene B.

"Overall health since coming to New Life Chiropractic?…..Good, very good!"
Gary T.