Cook Chiropractic Clinic offers our patient form(s) online so they can be completed in the convenience of your own home or office.
- New Patient 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!
- 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.
Download the Free Adobe Reader®
Click to Complete Paperwork Online - Adult
Click to Complete Paperwork Online - Pediatric (13-17yrs)
Click to Complete Paperwork Online - Pediatric (Newborn-12yrs)