Patient Forms

 

Initial Visit information and forms that need to be filled out for 1st visit:

Privacy Practices – Please download and read this information regarding privacy practices at Chiropractic Naturally.

Patient Information – Please fill out pages 1 to 3. Fill out page 4 only if you have Cigna Health Insurance.

Medical Release Form – Grant Dr. Swanson the right to release records to individuals to whom you give permission.

Back and Neck Index – Questionnaire on current conditions for your back and neck.


Other forms for follow up visits and feedback to Dr. Marie Swanson:

Client Feedback Form – Please download and fill out this form if you are a current client of Dr. Marie Swanson.