McCandless Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

• Follow the link to the Patient Intake form, fill it out, and submit online so your ready for your first visit!
• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Dowload, print, fill out, and either fax or bring to appointment (Auto Accident, Pediatric and Adolescent form)

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!

      Fill Out and Submit General Intake Form

Download & Print Automobile Accident Form Download & Print Pediatric Ages 0-3 Form Download & Print Adolescent Ages 4-12 Form

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!