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New Patient Forms

Save time during your first visit

At Health Center of Hillsborough, we offer our paperwork online so you can complete it in the convenience of your own home. Many of the forms here are required by the Federal Government’s privacy policies. We apologize for giving you so much work, but you do have privacy with us. We think you will find the process of completing the questionnaire useful and it may stimulate questions that can be addressed at the time of your visit.

If you are unable to do the paperwork before arriving, please come 20 minutes early and you can fill out the intake forms here!

Chiropractic Appointment

Please bring the following to your first chiropractic visit:

Completed New Patient Intake Form

Symptom Survey Form

A list of your medications and/or supplements (bring supplement bottles) If you have them, x-rays and copies of any other medical records or reports. Depending on what we find, we will often recommend that patients complete a Toxicity, Metabolic or Neurotransmitter Assessment Form to get a more comprehensive picture of your nutritional, neurological or hormonal status. Lab testing may include blood chemistry, hair, urinary and salivary analysis.

Nutritionist Forms

Please bring following forms to your first visit with the nutritionist:

Completed New Patient Nutrition Intake Form

Food Questionnaire

Massage Therapy

Please bring the following form with you to your first visit with our Massage Therapist

Massage Therapy Intake Form


Health Center of Hillsborough Forms | (919) 241-5032