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Online Forms

 For your convenience, all necessary forms for an office visit can be located within the individual links below.  These forms can be both typed upon and printed out.  Please fill out and print all forms and bring them with you to your first visit at our office!

**If you are seeking care with our office as the result of a work-related injury, please refer to the "Workers Comp." link and related forms.

**If you are seeking care with our office as the result of an auto-related injury, please refer to the "No Fault" link and related forms.

**If your condition is neither a work-related or auto-related injury, and you seek care by way of your major medical insurance provider, please refer to the "Other Insurance" link and all related paperwork.

Chiropractic Healthcare of St. James offers our patient form(s) online so they can be completed it in the convenience of your own home or office.he top toolbar of this screen!

  • 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 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!

Download & Print Form


If you are seeking care with our office as a result of a work-related injury, please fill out the following forms:

New Patient History Form

C-4 Form

A-9 Form


If you seeking care with our office for an auto-related injury, please fill out and print the following forms:

New Patient Form

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