Before we can get started on helping you, Our staff needs to understand your needs as a patient.

Please fill out the following New Patient Forms for our records.

This document was designed so that you can easily download it as a pdf and fill in requested information into the document.

Once completed save the pdf, you can email it to us, print it then fax it, or just drop it by when you visit us.

To New Patients

For Your Convenience

If you are a patient of  Dr. Bruce Lowry, he provides Chiropractic services in this location but uses a different form that you can access by <clicking here>

To become a patient of Dr Bingham

Download his form by <clicking here or on image below>

Please be aware of our patient 1st visit ebook located in the about section of our site.

You will find it very helpful if you are new to chiropractic care.