Bogota Chiropractic and Holistic Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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 Intake Form
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
Thyroid Screening Survey
Do you suspect that you have a thyroid problem, but have been told by your doctor that your tests results are normal? Do you struggle with many of the symptoms associated with thyroid disease, only to be told that "everything seems normal??" Take our online Thyroid Screening Survey (taken from Dr. Shame's book Thyroid Power with permission) to grade yourself and assess your risk.