Richard Williams Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.
To complete a paperless version of the intake, please click on the link below. If you choose to complete the online version, no other paper work is required. NOTE: Please call the office (828) 598-0371 to schedule an appointment BEFORE submitting the online forms.
Online Version for New Patients (Preferred Method)
To complete a paper version, follow the instructions and use the links below.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
New Patient Health History Form - Required
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
Personal Injury (Motor Vehicle Accident or Worker's Comp)
Note: If a person completes the Personal Injury form, they must also complete the Basic Intake if they are doing the paper version.