Amador Chiropractic Wellness Center offers our new client intake form(s) online so they can be completed it in the convenience of your own home or office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print it out and fill in the required information.
• Fax us your printed and completed form(s) or bring it with you to your appointment.

New Client Health History and Goals Forms - Required

Adobe Reader is required to open these forms, please print and fill in all areas on all 4 pages.  By filling these forms out ahead of time you will reduce the amount of time you spend in our office on your first visit.  Please be sure to bring your completed forms to your scheduled appointment, as we cannot begin your evaluation without them.

Download & Print Forms

 Member Wellness Registration Form - Optional

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!