Patient Forms

To better understand your health concerns and best serve you, we will need a detailed health history. Feel free to download or print out the health intake form below and complete it ahead of time to save some time on your first visit.​
Adults
 Pediatrics
 Medicare
 Auto Injury

What Can I Expect?

Appointments at Signature Chiropractic begin with New Patient Health Intake Form. Your first visit to the office will give us the opportunity to connect and to listen to your health needs. An in depth initial consultation is conducted in order for Dr. Le to understand your health concerns and discuss your specific health goals. Dr. Le will perform a detailed assessment and take any necessary x-rays on-site to analyze the structure and posture of your spine. 

We will review your overall findings and create a care plan specifically for you. We will discuss about the type of treatment you will be receiving, any addtional lifestyle recommendation for your individual needs, and financial & time investment. We would be honored to be part of your health journey.

Please allot approximately 45 minutes for your first visit.


Invest in Your Health

Signature Chiropractic believes in the value of wellness and maintenance care for you and your family and has offered a pricing structure that allows care for all budgets. We have various flexible payment programs to provide a way for you to receive the care you need. Our patients mostly pay directly for care, as they discover chiropractic care to be extremely cost-effective and affordable.

To learn more about our payment options for chiropractic and wellness care, you can call our office directly.