At Nowak & Lewis Chiropractic, we are committed to making your life better. To help save time on your first visit, please print and complete the attached forms for the category which best represents your need.

Personal Injury Forms

• Personal Injury Questionnaire
• Patient Report
• Neck Pain and Disability Index (Vernon-Mior)
• Lower Back Pain and Disability Questionnaire (Revised Oswestry)
• Informed Consent to Chiropractic Treatment
• Financial Policy
• Patient Health Information Consent Form

Workers Compensation Forms

• Workers Compensation History
  
• Patient Report
• Neck Pain and Disability Index (Vernon-Mior)
• Lower Back Pain and Disability Questionnaire (Revised Oswestry)
• Informed Consent to Chiropractic Treatment
• Financial Policy
• Patient Health Information Consent Form

Cash or Insurance Payment Forms

• Patient Information Sheet
• Patient Report
• Neck Pain and Disability Index (Vernon-Mior)
• Lower Back Pain and Disability Questionnaire (Revised Oswestry)
• Informed Consent to Chiropractic Treatment
• Financial Policy
• Patient Health Information Consent Form