Fife Chiropractic & Health Awareness Center offers our patient form(s) online so you can complete it 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 form(s), print it out and fill in the required information.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
NEW PATIENT HEALTH HISTORY FORM - Required
This let's us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
Click Here to fill out our secure online form. PLEASE DO NOT USE YOUR PHONE TO FILL OUT FORM. OUR INTAKE IS INCOMPATIBLE WITH MOBILE DEVICES.
Online Booking (FOR CONTINUANT EMPLOYEES ONLY)
If you are a Continuant employee, please utilize the section below for online booking.