Prime Health Family and Sports Chiropractic Wellness Center offers our first visit forms here so you can complete them in the convenience of your own home or office.
- Save time
- More convenient
- More comfortable
New Patient Health History & Wellness Assesment Form
Required for your first visit
- Download the necessary forms, print them out and fill in the required information.
- Fax us your printed and completed forms or bring them with you to your appointment.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
Questions? Contact us at 618-254-1100 or Email Us
Services We strive to provide complete care for our patients. Learn more about all the services we provide.
Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.
Before seeing Dr. Carr in early 2013 I suffered from upper back pain and frequent severe migraines. I instantly felt better after the first adjustment. Regular weekly visits help me with the pain being less severe and I very rarely suffer from a migraine now.
Brittany M. / Wood River, IL