New Patient Paperwork

Excelsior & Grand Chiropractic offers our patient form(s) online so they can be completed 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.
• Paperwork needs to be filled out within 24 hours of the appointment it will be canceled and need to reschedule.
• If you intend to use your insurance and would like a benefits check please provide your insurance information 24 hours before the appointment.