Lighthouse Family Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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 completed form(s) to (614) 876-0996 or bring them with you to your appointment.
New Patient Health History 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!
NOTE: ONLINE SUBMISSION WILL ONLY WORK FROM A COMPUTER OR IPAD;
PLEASE DON'T USE A PHONE TO COMPLETE.