Online Forms

DeYoung Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), fill in the required information.
• Share your completed form by emailing it to: [email protected] or
  

• Patients without AdobeReader®: Print the completed forms to bring with you to your appointment or fax to 616-281-2502

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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!

New Patient Forms

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Download the Free AdobeReader®

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Records Release

Authorization to Request Medical Records