Please print applicable documents below, fill them out,
and bring them with you at your first appointment.
Please be patient as each page downloads....it takes a few seconds
Low Back Disability Index (if applicable)
Neck Disability Index (if applicable)
Pediatric History Form (age 0-12)
New Patient Orientation
Authorization For Care of Minor (Under 18 Year)
Financial Arrangements & Insurance
I highly recommend that New Patients view the following video prior to their first visit in our office. This video will introduce you to our office and enlighten you with what to expect. IF THIS IS YOUR FIRST VISIT TO A CHIROPRACTOR, IT IS MY DESIRE THAT THIS SHORT VIDEO WILL HELP ANSWER SOME OF YOUR QUESTIONS. If you have a specific question, simply press the "reply message to the doctor" button and I will personally reply to your question.
I look forward to meeting you soon,
Dr. Craig Miladin