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

• If you do not already have AdobeReader® installed on your computer,  to download.
• Download the necessary form(s), print out and fill in the required information.
• Bring them with you to your appointment.

New Patient Confidential Patient Information - Required

This lets us know your demographics, the chief complaint for seeking chiropractic care, and your billing or insurance information. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Informed Consent - Required

It is in your and our best interest if patients fully understand the risks and benefits from chiropractic care. This form allows us to be on the same page with the possible pros and cons of chiropractic care.

Download & Print Informed Consent

HIPAA Consent - Required

This form is required to protect your health and insurance information and the way it is shared between health care providers as well as insurance companies.

Download & Print HIPAA Consent

Financial Policy - Required

This form allows you, the patient, to understand our billing policy and what is expected to keep your account in good standing.

Download & Print Financial Policy

Rate your Pain - Required

This form allows you to tell Dr. Michael Williams where your pain is, exactly what type of pain you are experiencing, and to what degree. This is very similar to the standard 0-10 pain scale utilized by most practices. 0 is no pain and 10 is unbearable pain.

Download & Print Rate your Pain