| $99 New Patient Evaluation Special Initial Health Consultation, Chiropractic Examination |
Health History
We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.
New Patient Intake Form
This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
Consent For Care & X-Rays
Financial Policy
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.
If you think that you or a loved one is a good candidate for chiropractic care, contact Breath of Life to arrange a thorough examination in our practice.
Patient Login
