Lawton Chiropractic :: Online Forms

Chiropractic Intake Forms

New Patient Form

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

Download & Print Form

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Nutrition Intake Forms

Patient Preferences

This form will help us by letting us know what foods you prefer to eat.
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Health Appraisal Questionnaire

Please help us get a better understanding of your overall health.
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Medical Symptoms Questionnaire

Have you had any of these symptoms recently?
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Health History

Please take the time to let us know about your health history.
Download and Print Form

Food Journal

You may be asked to track your food intake over multiple days. This form will help you keep track of it all!
Download and Print Form

Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

Dr. Pete Lawton | 109 Gateway Avenue, Suite 101, Wexford, PA | (724) 934-3911