New Patient Forms

Lifetime Family Wellness and Chiropractic offers our patient forms online so they can be completed 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 forms from the list below that pertain to your visit, print them out and fill in the required information.
  • Bring them with you on your first appointment.

Patient Forms

Please download and print any necessary forms from the list below and fill them out prior to your first visit. Take your time and answer all questions thoroughly.  The more information you provide the better we are able to understand your condition(s) and better serve you.

New Patient Intake Form

Wellness Check Questionnaire (Neuro Emotional Technique)

Fill out this questionnaire online, you will then be able to print it out and bring it to Dr. Larsen for further evaluation.

Call Now Button