New Patient Form

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Please choose the intake form for the service you are scheduled for.

  • New Patient - Chiropractic Intake Form

    Use this form if you are planning to receive chiropractic services from Hayden Health for the first time.

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  • New Patient - Acupuncture Intake Form

    First time acupuncture patients, please complete this form prior to coming in for your appointment.

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  • New Client - Massage Intake Form

    This is the form to complete if you have never before received massage services from Hayden Health.

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  • Nutritional Counseling - Systems Survey Form

    Please complete this form prior to coming in for your nutritional appointment with Dr. Wendy. 

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  • HIPPA Policy

    The HIPAA Privacy Rule gives individuals a fundamental new right to be informed of the privacy practices of their health plans and of most of their health care providers, as well as to be informed of their privacy rights with respect to their personal health information.

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  • FIRST TIME PATIENT?

    We'd love to talk to you. Feel free to contact us during our business hours, we'll let you know everything you need to become a patient. Are we closed? Visit our contact page and send us a message. We'll get back to you as soon as we return to the office.

    Contact Us »

    Experiencing Neck & Back Pain?

    Our specialty services allow you to naturally be feeling pain free in little to no time.

    Schedule Appointment »

    Experiencing Neck & Back Pain?

    Our specialty services allow you to naturally be feeling pain free in little to no time.

    Schedule Appointment »