Chiropractic New Patient Medical History Form

Try our free mobile medical history form for your new chiropractic patients.

Gather vital medical history from your new patients with this simplified form template while speaking with your patients. Efficiently and accurately input information into the available category fields that will help you provide quality care services.

Try our new patient medical history form - chiropractic for free on any mobile device with a free trial of IntouchCheck mobile form software. Sign up for a free trial today and ask your Intouch specialist to load this pre-built form into your account.

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When providing chiropractic services, you need to have a clear outlook about the patient's medical history, previous pain treatment, and any other medical services they may have had. This information gives you a deeper understanding of the patient's medical issues so you can make the best recommendations and treatment advice.

The new patient medical history form allows you the important details during the first meeting so you can effectively understand the patient's medical history and provide a thorough evaluation of their current health problems.

Form Details

Our free new patient medical history form provides chiropractic professionals with a template that allows them to capture a patient's important medical history so chiropractors can make quality health evaluations. By having the form template, you can perform efficient patient interviews to gather information about previous treatments and surgeries that may be related to the person's current pain problems.

Don't overlook necessary medical information when a new patient comes into the chiropractic office. The new patient medical history form can be used on all mobile devices so you can conveniently gather the vital details while speaking with the patient in the medical room. Our pre-created form can be used immediately, or you can customize the template with desired field segments, as it provides the following categories:

  • General patient information
  • Medical history
  • Current medications
  • Previous surgeries
  • Past hospitalizations
  • Current health evaluation field

Customize the Pre-Built Medical History Form Template

We know that every practice is unique, and your forms should reflect that. Our ready-to-use template is a comprehensive list of industry standard fields, but it is most useful when customized to reflect your own needs. The IntouchCheck platform makes it simple to quickly customize the mobile form template to meet the individual needs of your company and goals; questions, fields, or sections can be quickly removed, and new queries or fields can be added in the appropriate places to fit your project.

Create Your Own Chiropractic New Patient Forms

Already have processes and procedures in place? IntouchCheck’s straightforward interface makes it fast and easy to create your own forms, where you can customize the sections, categories, questions, and types of data/image capture fields. We’re here to help you get started! Try IntouchCheck for free, and see how easy it is to streamline your business processes.