New Patient Forms

We kindly ask that you fill-out your paperwork before coming in. You may bring your paperwork filled-out or e-mail it back to us at:

Team@LiveSmartChiropractic.com

Having your paperwork completed before your first appointment allows us to spend more time on your treatment.

ASH + Optum Insurance Forms

If your insurance is through Optum Health or American Specialty Health, please fill out the forms that pertain to you. Not sure which forms to fill out? Just ask us and we'll let you know.

American Specialty Health (ASH)

American Specialty Health (ASH) - Prenatal

Optum Health

Optum Health - Prenatal

 

All Other Patient Intake Forms

Not sure which form to fill out? Just ask us and we'll let you know.

Adult

Prenatal

Newborn + Toddler

Child

Auto Accident