Patient Forms
you can print

Welcome to Patient Forms!  For your convenience, the following forms are available to print.

          Registration Registration.pdf

          Case History Case_History_pdf.pdf

          Informed Consent  Informed_Consent.pdf

          Neck Disability Index  Neck_DisabilityIndex.pdf

          Low Back Disability Index Low_Back_DisabilityIndex.pdf

To print the forms, click on the "LINK" beside the  Form name you want to print.  This will open a new page which will have the form you need to print. Once you see the form you want, go to "File"  in the upper left corner of your screen and click on it.  You will see a drop-down list.  Click on either print, or print preview, to print the form you need. 

Once you have printed your form, to locate and print more forms, or to go to another area of our website, click on the back arrow, located in the upper left-hand corner of your screen.  Select the appropriate tab on the left margin, to go to another form or another topic.

Remember, you may not need to complete all of the forms at this time.  Complete only the ones that you were asked to complete, when you made your appointment.

See you soon and please be safe!

Learn about an insurance myth which was further dispelled by recent news reports on CNN 360, with Anderson Cooper.  You can see video reports by clicking on the Auto Accidents tab, on the left margin.  And you thought fender- benders  were mostly harmless, well . . .

free hit counter

TRENTON CHIROPRACTIC, INC

Dr. James Darrach

643 Trenton Avenue

Findlay, OH 45840

419-427-6300

 2007 Trenton Chiropractic and Rehab All Rights Reserved

Any information collected by this website is confidential and it is neither shared nor sold.

Tri-Point Marketing Services