Rebarber Family Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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 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!
NeuroIntegration Intake Form
NeuroIntegration Mapping Instructions
Consent for Treatment Form
Notice of Privacy Practices Form
Acknowledgement of Notice of Privacy Practices Form
|Monday||8:00am - 1:00pm||3:00pm - 5:30pm|
|Tuesday||Closed||3:00pm - 7:00pm|
|Thursday||8:00am - 1:00pm||3:00pm - 7:00pm|
|Monday||Closed||6:15pm - 8:30pm|
|Tuesday||8:00am - 11:30am||Closed|
|Friday||8:00am - 11:30am||2:30pm - 5:30pm|
We strive to provide complete care for our patients. Learn more about all the services we provide.View Services