Patient Paperwork

New Patient Forms

Lakewood Natural Medicine and Chiropractic offers our new patient forms online so they can be completed in the convenience of your own home or office. Completion of this form helps us to understand your health history and the current state of your health.

What questions, concerns, or goals regarding your health and wellness can we help you with? Let us know — we’re here to help you!­

New Patient Intake Form

If you have been in an auto accident, use the New Auto Patient Form instead.

  1. Download and print the form below that pertains to your visit
  2. Fill in the required information
  3. Bring the filled-out form with you on your appointment
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