Total Health Systems

Patient Forms

Download and complete the appropriate forms before your visit. This helps us provide you with the best possible care and reduces wait times.

New Patient Survey

Complete our online survey before your first visit

New Patient Forms

Essential forms for first-time patients

6 forms available

Chiropractic New Patient

PDF

Physical Therapy New Patient

PDF

Primary Care New Patient

PDF

Functional Medicine Intake

PDF

Auto Injury Intake

PDF

Workers Compensation Intake

PDF

Massage Therapy Intake

Forms specific to massage therapy services

1 form available

Massage Therapy Intake

PDF

First Line Therapy

Weight management and detox program forms

4 forms available

First Line Therapy Intake

PDF

Weight Loss Questionnaire

PDF

Detox Questionnaire

PDF

Body Composition Guidelines

PDF

Patient Reevaluation

Follow-up and reevaluation forms

4 forms available

Chiropractic 10th Visit Re-Evaluation

PDF

Chiropractic Yearly Re-Evaluation

PDF

Physical Therapy Re-Evaluation

PDF

Primary Care Follow-Up

PDF

Patient Reactivation

Forms for returning patients

1 form available

Chiropractic Reactivation

PDF

Metabolic Testing Guidelines

Preparation and guidelines for metabolic testing

3 forms available

Metabolic Prep Brochure

PDF

Exercise Pre-test Instructions

PDF

One2One Guidelines

PDF

Need Help?

If you have questions about which forms to complete or need assistance, please contact our office. We're here to help!

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