New Patient Form

If you are coming to our clinic for the first time, please complete the form below to save time at your first visit. We look forward to serving you!

As a patient of the Palmer Chiropractic Clinic, you have certain privacy expectations as well as rights and responsibilities. Our clinic is fully compliant with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy and security rules for health care providers. The confidentiality of your patient records is of paramount concern to us, and you’ll be asked to review information about how we comply with HIPAA rules and sign a form on your first visit.

Your Privacy, Rights and Responsibilities

In addition, you have certain rights and responsibilities as a patient in our clinic. You have the right to expect excellent clinical care and to have all of your treatment explained to you and every question answered to your satisfaction. 

Want to know more? Review detailed information found in the links below or call us if you have more questions.

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