Online Forms

Wheeler Health Group 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.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


New Patient Paperwork - Required

Download and print the paperwork using the links below, for the corresponding forms

New Patient Data - Download & Print Form

Patient Pain - Download & Print Form

Patient Outcome - Download & Print Form



Download the Free AdobeReader®