New Patient Forms

 
Welcome to Fliss Laser and Chiropractic. The following forms are available to download and print prior to your visit with us. Please fill out the appropriate forms and present them when you arrive. This will expedite the process and decrease your wait time. The forms are presented in Adobe PDF format and require the Acrobat Reader to view and print them. If you do not have Acrobat Reader, get a free copy by clicking on the Adobe button below.

 



Personal Health History

 



Informed Consent

 



Accident Report

 


HIPAA


The Health Insurance Portability and Accountability Act