Goodwin Chiropractic, Inc. offers our patient form(s) online so they can be completed 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), email us your completed forms to drsg@drsgoodwin.com or bring it with you to your appointment.
New Patient Health History Form - Required
This lets us know the history and current state of your health. Please feel free to download this form and fill it out before your first visit. Once you have completed the form you can print it out and bring it with you, fax it to us before your visit or email it to drsg@drsgoodwin.com. Make sure to let us know if you have any questions or concerns.
Download & Print FormHIPPA Compliance Form - Required
This form is required by the State of California concerning patient rights. Please feel free to download this form and read it before coming in for your visit. Once you have read the form you can either fill it out and print it out or you can fill the form out, save it and email it to drsg@drsgoodwin.com. Let us know if you have any questions or concerns.
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!
Download & Print FormDownload the Free AdobeReader®
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