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Chiropractic Intake Form

Get access to a free Chiropractic Intake Form from Carepatron. Streamline your clinical documentation with this PDF template.

Olivia Sayson avatar

By Olivia Sayson on Aug 2, 2025.

Fact Checked by Ericka Pingol.

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Chiropractic Intake Form Template

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Commonly asked questions

Aside from the client and their chiropractor, there should be a small number of authorized users who can access chiropractor intake forms. At the end of the day, they are personal health documents, so it is important that you safeguard all the information that they contain. The only other authorized users should be those who are in charge of storing, editing, and updating the intake forms. If another user would like to access the form, it is recommended that they log an excess request to be reviewed.

Chiropractic intake forms differ from physical therapy forms, as chiropractors focus on bones, joints, and specific disorders of the musculoskeletal system. This is very different from physical therapist intake forms, which focus on wider bodily function and movements rather than just nervous system concerns. As a result, the intake forms are likely to look a little different regarding the evaluations and questions asked.

If a patient omits critical information, such as emergency contact details or relevant medical history, it’s important to address this promptly. During the first visit, take the time to review the intake form with the patient and ask clarifying questions to gather the missing details. If necessary, contact the patient before their appointment to fill in any gaps in the information.

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