United Health Chiropractic offers new patient intake form(s) online so they can be completed at your convenience.
You can fill out your new patient intake forms online or, download a paper form to bring to your appointment.
- Fill out your patient intake online HERE.
- Download and print the necessary form(s) and fill in the required information.
- Fax your printed & completed form(s) to 701-232-9588 or bring them with you to your scheduled appointment.
- If you are printing forms and do not already have AdobeReader® installed on your computer, click here to download.
New Patient Paperwork (15 y/o and up)
New Patient Paperwork Pediatric (14 y/o and under)
Download the Free Adobe Reader®