Dr. Mike Day, DC Upper Cervical Chiro

DOWNLOAD THE FORMS: These are pdf forms and can be printed out and filled out by you at home in your own time. Bring the forms in and get to the doctor much faster. The forms are easy. Thank you. You must print, sign and date all forms where indicated. Whitnesses are optional. Thank you.


Just fill out the first 5 pages and only the top of page 6.


Note: These are the necessary, legal health care forms. They describe my practice, policies and allow me to give chiropractic adjustments. I do not give anyone any information about you or your treatment unless you come in and take it yourself. Your information is safe here. Thank you.

Website Created & Hosted with Website Builder