Online Forms

Dyer Chiropractic offers our patient forms online so you can complete them in the convenience of your own home or office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download AdobeReader®
• Click here to open the General Patient forms
• OR click here to open the forms for Patients with Pain due to an Accident (you do not need to fill out the General Patient Forms in addition)
• Print the forms
• Fill out the forms
• Fax your printed and completed forms to us at (317) 882-4898 or bring them with you to your appointment

If the patient is 18 years of age or younger, please fill out this Consent to Treat Minor form.

Member Wellness Registration

As a visitor of this website, you can obtain 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.  Click Here to register online! We look forward to making your experience with our office and website more interactive and rewarding!