Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home.

If you have any questions please contact our Lincoln office at (916) 434-0600.

Health History

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

Download & Print form

Advanced Beneficiary Notice

This form is to help you make an informed choice about whether or not you want to receive a particular service, knowing that you might have to pay for them yourself.

Download & Print form

Chiropractic Care Consent

This form gives us consent to the examinations that the doctor deems necessary.

Download & Print form

Automobile Accident

If your health issue is the result of a car accident, we need some additional information.

Insurance Verification form

Acknowledgment and Understanding

Medical Pay

Notice of Doctor’s Lien

Consent to Treatment of Minor Child

This form authorizes us to treat your minor child.

Download & Print form

Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.