Crossroads Health Solutions 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.
*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
*To fill out and submit online* click here: Online Intake Form
1. Fill out form and click submit at the bottom of the form’s page. This
will automatically send us your completed new patient form.
*To print form* to fill out and bring in or fax: Download & Print Form
1. If you do not already have AdobeReader® installed on your computer, Click
Here to download.
2. Download the necessary form(s), print it out and fill in the
3. Fax us your printed and completed form(s) or bring it with you to