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New Patient Forms at Sheaffer Family Chiropractic

If you have access to a printer and can download and fill out our forms you can save time on the day of your first appointment and can arrive 5 minutes ahead of time to ensure you get seen by Dr. Sheaffer in a timely manner!

No printer? No problem — just come in about 20-30 minutes ahead of your scheduled appointment — we have copies of our forms in our office too!

Adult Health History

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

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Infant Health Form (1-12 months)

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Child Health Form (1 to 13 years)

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Automobile Accident Or Personal Injury

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

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New Patient Forms at Sheaffer Family Chiropractic | (717) 843-9355