Nygren Chiropractic & Acupuncture

                            Dr. Nichole Nygren DC Diplomate Acu

SAVE TIME:

PRINT, READ AND COMPLETE THESE AT HOME

Step 1: Identify what type of patient you are and read the forms that you need.

Step 2: Scroll towards the bottom of the page to find the forms in PDF format.

Step 3: Double click on the PDF forms icon to open it

Step 4: Print them.

Step 5: Using an ink pen, fill them in completely and bring them to your appointment.

It's that easy!!

Our Privacy Notice is also available below for you to view, as well as our Muscle Testing Leaflet and Acupuncture Leaflets. You do not have to print or sign anything on these forms.

New Patients (7 and older):

Please print, read and fill out the following forms:

1. New Patient Form

2. Office Policy Form

For Medicare Patients Only:

Addition to the above forms, please print, read, and fill out the following form:

1. Notice of Medicare Coverage Form

Child New Patient (birth-6):

Please print, read and fill out the following forms:

1. Child New Patient Form

2. Office Policy Form


Smoking Cessation Acupuncture Program:

Please print, read and fill out the following forms: 

1. Smoking New Patient Form

2. Office Policy

3. Acu Smoking Rules (read only)

Privacy Notice

Acu Smoking Rules