Skip to content

Man filling out paperwork

New Patient Forms at
Pinnacle Chiropractic + Wellness

Save time during your first visit

At Pinnacle Chiropractic + Wellness, we offer our paperwork online so you can complete it in the convenience of your own home.  If you would rather fill out a paper form, those are also available below for downloading and printing.


Online New Patient Paperwork

Click Here and Fill Out


Introduction Patient Case History

Download & Print Form


Bournemouth Questionnaire

The following scales have been designed to find out about your back (neck etc.) pain and how it is affecting you.

Download & Print Form


Automobile Accident

If your health issue is the result of a car accident, we need some additional information.

Download & Print Form


New Patient Forms at Pinnacle Chiropractic + Wellness | (336) 248-8402