ONLINE FORMS
Online Forms For Your First Visit
Lighthouse Family Chiropractic and Wellness Center
offers our new patient form online to be filled out in the convenience of your home or office. Please bring this form with you on your visit to save time.
Required Health History Form
Please be sure to fill out and print the form below. This form lets
us know your medical history and the current state of your health.
What To Do Before Your Appointment
- If you do not have AdobeReader® installed, please download it here.
- Download the form, print it out and fill in the information.
- Fax the printed completed form or bring it with you to your appointment.
Set Your Appointment
Haven’t set your appointment yet? Give Lighthouse Family Chiropractic and Wellness Center
a call today at 609-597-4755. We will be sure to take care of your chiropractic needs!