New Patients

Patient Intake Forms

Every patient completes a Patient Intake Form at their first visit. Save time by downloading and filling it out in advance.

For quickest service, call (203) 288-7300 to reserve your appointment time.

Forms are also available at the office if you prefer to fill one out on arrival. If available, please bring the following to your first appointment:

  • Driver's License
  • Health / Medical Insurance Card
  • Car Insurance Card
1st Care Chiropractic patient intake form
📞 (203) 288-7300Free Consultation