Forms For Patients
Welcome to Utah Valley Chiropractic! We are thrilled to have the opportunity to assist you on your journey to better health and wellness. To ensure that we provide you with the best possible care, we kindly request that you fill out our New Patient Forms.
These forms are designed to help our staff understand your specific needs as a patient. You can easily download the forms as a PDF and conveniently fill in the requested information. Once completed, you have a few options for submitting the forms to us:
Download or form here
https://utahvalleychiropractor.com/forms.pdf
Email: Save the PDF and email it to the email on the form.
Fax: Print the PDF and fax it to us on the form.
In-person: Simply bring the completed forms with you when you visit our office.
We understand that your time is valuable, and we strive to make the process as convenient as possible for you.
For your convenience, we have separate forms for patients of Dr. Lowry and Dr. Bingham. If you are already a patient of Dr. Lowry, please access his specific form by visiting his website (thechiro . net). If you would like to become a patient of Dr. Bingham, please download his form by clicking here or visiting our new patient page. These forms will also work for patients with auto related, insurance related and cash related patients.
We appreciate your cooperation in filling out these forms, as they will enable us to provide you with personalized and effective care. If you have any questions or need further assistance, please don’t hesitate to contact us.
We’re excited to embark on this journey towards improved health and wellness together!
Sincerely, The Team at Utah Valley Chiropractic