Empowered Life, PC 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.
Practice Member Intake Information:
Before your first visit please fill out the following Practice Member Intake Form.
Adult Intake (13 and up)
Infant and Toddler Intake (0 to 4)
School Aged Intake (5 to 12)