New Patient Forms
(clicking link will open an electronic intake form)
https://www.mychirotouch.com/patientintake/?clientid=RCL0009
**** MUST BE PERFORMED ON A DESKTOP OR LAPTOP
PLEASE BE SURE TO SIGN THE FORM ELECTRONICALLY BEFORE SUBMITTING
Outcome Assessment Forms
Roland-Morris Low Back Pain
Oswestry Low Back Pain Index
Neck Disability Index