New Patient Paperwork

Dyer Chiropractic Clinic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

• All forms are PDF files. You will need AdobeReader® to view them.
• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print them out and fill in the required information.
• Fax us your printed and completed form(s) 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.