The following forms may be required to be completed when you visit. You may download them prior to your visit to review them and complete them before arriving.  PLEASE DO NO PRINT ON BOTH SIDES.

New Patient Form

Consent for Treatment of a Minor Form

Personal Injury Form

Authorization for Records Release

Workers Compensation Questionnaire

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Secure Payment Note: No personal or payment information is collected on the Daniels Chiropractic website. Once you click “Pay Now”, you will be transfer to a secure payment website and your payment will the processed securely.