WellnessStop offers our patient forms online so they can be completed it in the convenience of your own home.
Chiropractic Only New Patient Health History Form -
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!
Chronic Condition New Patient Health History Form -
This lets us know the history and current state of your chronic condition, whether it be Fibromyalgia, Thyroid disorders chronic knee pain, frozen shoulder , peripheral neuropathy, etc… We get a little more information to be able to see the whole picture of what is causing your condition.
We are so delighted that you have chosen our office to help you through this amazing journey to get better. Since you are new to our office we will need some paperwork from you first. In order to make it as easy as possible for you we have put the paperwork here on our website so you can download it and fill it out at home. Please note: All paperwork, including all recent lab work, a list of medications and/or supplements you are taking, must be returned to our offices two days prior to your first appointment. Please take note on the day of your appointment we need you in our office 10 minutes before your appointment and that you must wear or bring a t-shirt and shorts (or loose capri pants).
Dr. Michael Corey, D.C., B.C.I.M.
2552 Walnut Avenue, Suite 145, Tustin, CA 92780
714-730-5833 Phone 714-730-5083 Fax
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