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Wellness for You NOW 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.

Initial Paperwork

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!

First Office Appointment Questionnaire 
Pregnancy First Office Appointment Questionnaire 

Pediatric Paperwork

Please print and fill in this form to the best of your ability and bring with you and your child on the initial visit. Please fill in one form for each child.

INFANT 0-11 months First Office Appointment Questionnaire
TODDLER 12 to 24 months First Office Appointment Questionnaire
PRE-SCHOOL 3 to 5 years First Office Appointment Questionnaire
CHILDHOOD 6-12 years First Office Appointment Questionnaire
ADOLESCENT 13-17 years First Office Appointment Questionnaire

Download the Free AdobeReader®

Office Hours

FridayBrighton 10a-12pPenfield12:30p-2:30p
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Brighton Penfield Brighton Penfield Brighton 10a-12p Closed Closed
10a-6:30p 10a-6:30p 10a-630p 10a-6:30p Penfield12:30p-2:30p Closed Closed