New Patient Intake Forms
Thank you for choosing Lakeshore Family Chiropractic and Wellness. In order for us to offer the best care, we need you to complete the intake forms prior to coming in for your first appointment. We have multiple forms to offer the most specialized care for you. Please choose the form that best applies to the care you are seeking. If you have any questions surrounding which form to choose, please call us and we will guide you to the correct form. When you are finished, click submit and the forms will come right to us!
Adolescent New Patient Intake Form
Current Patient Forms
Here are a few of our office forms for easy access. Choose the form you need, fill it out and click submit. It will come right to us.
Authorization for the Release of Medical Records
Photo and Testimony Release Adult
Thank you!
Dr. Sara Young
Dr. Cathy Boufford