Russell Chiropractic Health Center
To save you time at your first appointment, please take a moment to complete our patient information form
1. Click the link below
2. Print the form on your own printer
3. Fill out the form and bring your information with you for your scheduled appointment.
*Note: You must have Adobe Acrobat Reader to view the PDF versions of our forms. If you don't already have Acrobat Reader, the free software is available at the Adobe web site.