Imagine your life without physical restraints.
Fill out the form below and we will be in touch
to find the next available appointment for you.
Langel Chiropractic Clinic, P.C. 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.
New Patient Health History Form
Consent To Treat A Minor
Current Patient Update
- 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.