At Germantown Chiropractic, we offer patient forms online so you can complete them in the convenience of your own home or office.
- New Patient Intake Form
- Consent to Treat Minor Patient without Parent Present
- Quick Dash
- Back Index
- Neck Index
- Lower Extremity Functional Scale (LEFS)
- Re-examination Form
- Auto Injury / Work Comp Payment Agreement
- Notice of Privacy Practices
Kentucky HIPAA Medical Release Form – Download & Print