Swansea Chiropractic offers our patient form(s) online so you can complete them in the convenience of your own home or office.
Click "Submit" at the end of each form, and it will come directly to our office. The doctor will review your answers in preparation for your first visit.
1. Complete one of the following, depending upon the patient's age:
New Patient Intake Form (Adults and Children 11 years and Older) OR Pediatric New Patient Intake Form (Newborn - 10 years of age)
2. Review and sign our Assignment of Benefits form:
3. Review and sign our office Privacy Agreement
(Coming soon! You'll sign this when you get to the office)