New Patients

    Reach out to MG Dodge Chiropractic using the form below. Your information is always confidential.

    New patient paperwork

    Jazzy is happy to help you with your new patient forms.

    We offer our patient form(s) online so they can be finished in the comfort of your own home or office.

    The forms we ask new patients to fill out help us to better understand you, your complaints, and give us a guidepath to follow in an effort to establish the best therapies for you. The information we get from your check-in form can make a major difference in how fast we can get you from hurting to healing.

    You’re welcome to look over, print and fill it out and bring these forms with you when you come in.


    • All forms are PDF files. You will need AdobeReader® to view them…
    • If you do not already have AdobeReader® installed on your computer, Click Here to download.
    • Download the necessary form(s), print them out and fill in the required information
    • Fax us your printed and completed form(s) or bring it with you to your appointment