At Greater Rochester Chiropractic we offer you the opportunity to download the necessary form(s) to fill out before your first visit. We have added the necessary forms for you to download, fill out and bring to your first appointment. If you decide not to fill these out before you arrive, please arrive 15 minutes early. In addition to these forms please bring picture ID and your insurance card to the first appointment.
This lets us know the history and current state of your condition and health. Everyone must fill out these forms unless they are under the age of 12. If under the age of 12, kindly fill out the Pediatric form below.
Automobile Accident (No-Fault)
If the purpose of your visit is due to injuries sustained in a motor vehicle accident you must fill out these forms.
No Fault Information
Pediatric Patient History
If the patient is under the age of 12, kindly fill out this form. You do not need to fill out any other forms.