Online Forms

Kimel Chiropractic Center, P.C offers our patient form(s) online so you can complete it 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 Information Form and Privacy Notice - Required

This let’s us know your contact information and how you desired to be contacted.  You will also be given the opportunity to sign up for our e-mail newsletter and gain access to the member only portion of this website. Lastly, this document contains information about our office policies which protect your personal and health information.

New Patient Case History Form - Required

This let’s us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!