New Patients
to Allen Chiropractic Wellness Center
Here's what to expect and how to make your first visit as smooth as possible...We've digitized our patient intake and records forms. Fill them out on your phone, tablet, or computer before your appointment — they submit directly to our office. When you arrive, we already have your information and can get straight to the consultation.
Request Your AppointmentFill it out online
Complete the forms that apply to you before your visit — each one submits directly to our office.
Adult Patient Health Record
Symptoms, medical history, medications, allergies, and the reason for your visit — the core adult intake.
Pediatric Patient History
New-patient intake for children — birth and developmental history, symptoms, and parent/guardian details.
HIPAA Authorization & Records Release
Authorize us to use or share your health information and records with a spouse, physician, or other party you specify.
First Visit
Our aim is to alleviate stress and ensure your utmost comfort during your initial visit.
We prioritize providing high-quality care for you and your family at reasonable fees. For details on payment options, please contact our office.
We have found that most people spend the first 40 years of their life doing very little about their health, and the last 40 years wishing they would have! Invest in your health today.
New Patient Forms
These forms provide crucial insights into your current health status and medical history. Simply download, print, and fill out the forms. Once completed, you can either fax them to us at 888-972-7541 or bring them along to your appointment. We look forward to seeing you soon!
What to Expect on Day One
Your first visit takes about 45–60 minutes. We start with a conversation — about your symptoms, your history, and what you're hoping to achieve. Then a physical assessment, and depending on your case, possibly a first treatment. You leave with a plan and a clear sense of next steps. No surprise fees, no high-pressure “care packages” — we're a small-town practice and we earn trust the old way.
Common Questions
We prioritize providing high-quality care for you and your family at reasonable fees. Most services can be paid out-of-pocket or via HSA/FSA. For specifics on payment options, please call our office at (573) 778-0500 or email us — we're happy to explain before you commit.
Welcome back. If it's been a while, you may not need to redo all the forms — give us a call and we'll let you know exactly what we need.
