New Patient Paperwork

Let’s make your first visit simple, smooth, and stress-free.

Please Fill Out Your Paperwork Before Your First Visit

We know your time is valuable — especially if you’re wrangling little ones. That’s why we ask all new patients to complete their paperwork online before arriving at the office. It helps us prepare for your appointment with clarity, purpose, and the focus your family deserves.

Choose the Right Form(s) Below

We’ve created age-specific paperwork to make sure we’re asking the right questions for every stage of life. Please select the one that fits your or your child’s current age, and follow the notes below if you are pregnant or coming in after a car accident.

For Infants & Kids:

For Adults (18+):

If you are pregnant, you’ll be asked additional pregnancy-related questions automatically within this form.

Were You Involved in a Car Accident? Please Read This Carefully:

If you are coming in due to a car accident (also known as personal injury), you will need to fill out two forms:

  1. The appropriate Pediatric or Adult Intake Form above
  2. The Personal Injury Intake Form
We know this may feel like extra work, but it ensures your care and documentation are done properly from the start.

Reformation Chiropractic

301 South Tubb Street Suite F2
Oakland, FL 34760