Online Forms

Brower Chiropractic Center offers our patient form(s) online so you can complete it in the convenience of your own home or office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print it out and fill in the required information.
• Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Forms - Demographics, 2 page Health Questionaire, Office Financial Policy and HIPPA

Print and complete these forms ONLY for a new patient appointment.

­Download & Print Forms

Established Patient Update Forms - Patient Health Questionaire, Demographic Update 

Print and complete these forms only if you are an established patient. United Healthcare and Cigna patients can print and complete the one page Patient Health Questionaire only.

Download & Print Forms

Worker's Compensation Forms - Use  for new and established patients coming in under a workers comp injury.

Download & Print Forms

Home Care for the Lower Back, Hip and Leg Form

Download & Print Forms

Home Care for the Neck, Upper Back and Shoulder/Arm Form

Download & Print Forms

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!