COVID-19 Precautions

widely spaced appointments

health screening with temperature and pulse ox check

cleaning and sanitizing between each patient

your health and wellness is our top priority

Westlake Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

  • History [All New Patients]

    Registration [Auto Accident Patients]

    Questionnaire  [Auto Accident Patients]

    Female_Health_History [XSRM,Brain Balancing Patients]

    Male_Health_History [XSRM, Brain Balancing Patients]

    Child_Health_History [XSRM, Brain Balancing Patients]

    Download the Free AdobeReader®