Infant Patient Paperwork

Infant Patient Paperwork

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

  • If you do not already have AdobeReader® installed on your computer or browser, 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.

Infant Patient Intake Form

HIPAA Notice

Financial Policy

Consent Form

mother with baby on yoga mat in studio having fun