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New Patient Forms

Woman filling out paperworkAt Elements Health, we offer our paperwork online so you can complete it in the convenience of your own home.

Elements Intake

All new patients should complete the Elements Intake form above, along with the specific form(s) below for the service(s) you are seeking.

Chiropractic Adult Intake

Chiropractic Pediatric Intake

Psychology Adult Intake

Psychology Minor Intake

Massage Intake

Physiotherapy Intake

Direct Billing

We direct bill for all eligible services. Please bring you insurance company information with you to your first visit. To save time, print and complete our Direct Billing Agreement before you come.
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Elements Health | (780) 571-3536