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New Patient Forms

LifeLine Chiropractic 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.

  • 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.

Patient Health History Forms - 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 know!

Patient History
Download & Print Form

Financial Policy
Download & Print Form

HIPPA
Download & Print Form

Informed Consent
Download & Print Form

Pain Man
Download & Print Form

Neck Questionnaire
Download & Print Form

Low Back Questionnaire
Download & Print



Download the Free AdobeReader®

Sign Up With the Form Below or Call (208) 336-7900 Now to Make an Appointment.

Office Hours

Our Regular Schedule

Lifeline Chiropractic Center

Monday:

9:00am-1:00pm

3:00pm-5:30pm

Tuesday:

8:30am-11:30am

Wednesday:

9:00am-1:00pm

3:00pm-5:30pm

Thursday:

10:00 am-11:30 am

1:30 pm-5:30 pm

Friday:

8:30am-1:30pm

Saturday:

Closed

Sunday:

Closed

Location

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