BackFit Chiropractic & Rehab understands how valuable your time is; as a result we offer our patient form(s) online so they can be completed in the convenience of your own home or office. For all new patients that are inquiring about care, click here for internet special.
This lets us know the history and current state of your health. The information completed on these forms will assist the Doctor to properly assess, diagnose and treat your current condition.
This form is required if you were in a motor vehicle accident. Please complete the New Patient History Form as well above.
This form is to be completed prior to seeing one of our Doctors so that we can get an update of your current condition. Whether you have a new injury or a chronic one, this form will assist our staff to better serve you.
Massage Intake Forms - Required
This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!
Chandler - 480.917.1720 Gilbert - 480.497.2900 Mesa - 480.830.2882 Phx - 602.840.0056
