Sayers Sports and Family Chiropractic offers our patient form(s) online so you can complete it in the convenience of your own home or office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print it out and fill in the required information.
• Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This let’s us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form page 1

Download & Print Form page 2

New Patient Information Form - Required

This will let us know your contact and insurance information.

Download & Print Form

New Patient Consent/Release Form - Required

Download & Print Form

New Patient Health Information Form - Required

Download & Print Form

Health Profile Questionaire - Required

Download & Print Form

Auto Accident Injury Form

This form is necessary if you have recently been involved in an automobile accident.

Download & Print form

Workers Compensation Injury Form

This form is necessary if you have recently been injured on the job.

Download & Print form

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!